Organization
ICLEAR ORTHODONTICS AND BRACES LLC
Active
Organization
ICLEAR ORTHODONTICS AND BRACES LLC
Active
Other names
Orthodontic excellence
Organization subpart
No
Provider details
NPI number
Authorized official
RUCHIR PATEL DDS (MANAGER)
(770) 914-2808
Entity
Organization
Contact information
Practice address
420 MCDONOUGH PKWY, MCDONOUGH, GA 30253-8946
(770) 914-2808
Mailing address
420 MCDONOUGH PKWY, MCDONOUGH, GA 30253-8946
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014542
GA
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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