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Organization

CHILDREN AND TEEN ORTHO GROUP OF FLORIDA

Active
Parent organization
CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Other names
Palm Tree Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Authorized official
BRIAN SMITH (CHIEF OFFICER)
(770) 231-5348
Entity
Organization

Contact information

Practice address
31071 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4416
(727) 303-5483
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
02/19/2024
Last updated
02/19/2024
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