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Organization

FAMILY ORTHODONTICS OF WS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNINE BARTCH (MANAGER)
(678) 445-9191
Entity
Organization

Contact information

Practice address
2230 TOWNE LAKE PKWY, BUILDING 1100, STE 100, WOODSTOCK, GA 30189-5540
(678) 445-9191
(678) 445-9173
Mailing address
PO BOX 195, WOODSTOCK, GA 30188-0195
(678) 445-9191
(678) 445-9173

Taxonomy

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

Other

Enumeration date
11/12/2010
Last updated
11/12/2010
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