Organization
NOVUS ORTHODONTICS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNI SNOW (CREDENTIALING SPECIALIST)
(678) 986-7116
Entity
Organization
Contact information
Practice address
15 RIVERBEND DR SW STE 130, ROME, GA 30161-6005
(706) 232-1283
Mailing address
15 RIVERBEND DR SW STE 130, ROME, GA 30161-6005
(706) 232-1283
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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