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Organization

INNOVATIVE ORTHO GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONIHUE WATERS DDS (CO-OWNER)
(912) 660-3706
Entity
Organization

Contact information

Practice address
9100 WHITE BLUFF RD STE 104, SAVANNAH, GA 31406-4673
(912) 354-3474
Mailing address
9100 WHITE BLUFF RD STE 104, SAVANNAH, GA 31406-4673
(912) 354-3474

Taxonomy

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

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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