Organization
ORTHODONTIC CARE OF GEORGIA
Active
Other names
Dr. Hector M. Bush, P. C.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ZAYAS (MANAGER)
(706) 342-7272
Entity
Organization
Contact information
Practice address
3312 NORTHSIDE DR, BLDG A SUITE 160, MACON, GA 31210-2500
(478) 471-9300
(478) 471-9796
Mailing address
1828 JONESBORO RD, MCDONOUGH, GA 30253-5960
(678) 432-8505
(678) 432-9419
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011309
GA
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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