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Organization

FAMILY ORTHODONTICS OF MCDONOUGH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA SIMMONS (BILLING OFFICE MANAGER)
(770) 448-8882
Entity
Organization

Contact information

Practice address
1409 HIGHWAY 20 W, MCDONOUGH, GA 30253-7306
(770) 692-1000
Mailing address
1350 SPRING ST NW, SUITE 600, ATLANTA, GA 30309-2864

Taxonomy

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

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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