Organization
CHAPEL HILL ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISE M CALLOWAY D.D.S. (OWNER/ORTHODONTIST)
(678) 418-3000
Entity
Organization
Contact information
Practice address
4919 FLAT SHOALS PKWY, 210, DECATUR, GA 30034-5210
(678) 689-0371
Mailing address
4919 FLAT SHOALS PKWY, 210, DECATUR, GA 30034-5210
(678) 689-0371
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
012709
GA
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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