Organization
KING, MCCUNE, AND MOORE ORTHODONTICS, LLC
Active
Organization
KING, MCCUNE, AND MOORE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MOORE DMD (ORGANIZER)
(678) 464-9773
Entity
Organization
Contact information
Practice address
3401 NORTHSIDE PKWY NW, ATLANTA, GA 30327-2323
(404) 233-1972
Mailing address
5575 AVEN RD, MARIETTA, GA 30068-4502
(678) 464-9773
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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