Organization
PD ORTHO LLC
Active
Parent organization
PEDIATRIC DENTISTRY AND ORTHODONTICS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC DENTISTRY AND ORTHODONTICS PC
Authorized official
KATINA SATTERFIELD (REGIONAL MANAGER)
(770) 651-1000
Entity
Organization
Contact information
Practice address
10930 CRABAPPLE RD STE 106, ROSWELL, GA 30075-5825
(770) 651-1000
Mailing address
570 W CROSSVILLE RD STE 203, ROSWELL, GA 30075-7517
(770) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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