Organization
WEST COBB ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUCHIR PATEL DMD (PRESIDENT)
(734) 709-3730
Entity
Organization
Contact information
Practice address
1690 STONE VILLAGE LN NW STE 910, KENNESAW, GA 30152-7714
(678) 401-4321
Mailing address
1690 STONE VILLAGE LN NW STE 910, KENNESAW, GA 30152-7714
(678) 401-4321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014542
GA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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