Organization
BUSH & FREEDMAN ORTHODONTICS LLC
Active
Other names
Orthodontic Care of Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR BUSH DMD (PARTNER)
(678) 769-4909
Entity
Organization
Contact information
Practice address
3630 THOMPSON BRIDGE RD, STE. 18B, GAINESVILLE, GA 30506-1519
(678) 769-4909
Mailing address
1740 HUDSON BRIDGE RD, PMB 1182, STOCKBRIDGE, GA 30281-6331
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN011309
GA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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