Organization
ATLANTA WEST ORTHODONTIC CARE, PC
Active
Other names
Eisenstein Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG EDUARD EISENSTEIN DMD (PRESEDENT)
(404) 324-7877
Entity
Organization
Contact information
Practice address
1771 LEE RD, SUITE A, LITHIA SPRINGS, GA 30122-3071
(770) 739-1111
Mailing address
215 ARBOR CREEK WAY, ROSWELL, GA 30076
(404) 324-7877
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN012526
GA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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