Organization
WINDERMERE ORTHODONTICS LLC
Active
Organization
WINDERMERE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L GORLOVSKY DMD, MS (OWNER)
(770) 888-1929
Entity
Organization
Contact information
Practice address
3120 MATHIS AIRPORT PKWY, SUITE 106, SUWANEE, GA 30024-9128
(770) 888-1929
(770) 888-1859
Mailing address
3120 MATHIS AIRPORT PKWY, SUITE 106, SUWANEE, GA 30024-9128
(770) 888-1929
(770) 888-1859
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013818
GA
Other
Enumeration date
01/16/2010
Last updated
01/16/2010
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