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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