Organization
QUALITY ORTHODONTIC CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURNACE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization
Contact information
Practice address
2455 OLD MILTON PKWY, ALPHARETTA, GA 30009-2105
(770) 664-6003
Mailing address
2455 OLD MILTON PKWY, ALPHARETTA, GA 30009-2105
(770) 664-6003
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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