Organization
INTEGRITY ORTHODONTICS
Active
Other names
Cavallaro Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE A CAVALLARO D.D.S. (OWNER)
(770) 971-9228
Entity
Organization
Contact information
Practice address
3823 ROSWELL RD, SUITE 203, MARIETTA, GA 30062-6278
(770) 971-9228
(770) 971-6162
Mailing address
3823 ROSWELL RD, SUITE 203, MARIETTA, GA 30062-6278
(770) 971-9228
(770) 971-6162
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN010349
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN013778
GA
Other
Enumeration date
09/09/2015
Last updated
10/06/2016
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