Organization
BEAUTIFUL SMILES ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MCKOY (CEO)
(404) 696-1023
Entity
Organization
Contact information
Practice address
3695 CASCADE RD SW STE V, ATLANTA, GA 30331-2146
(404) 696-1023
Mailing address
3695 CASCADE RD SW STE V, ATLANTA, GA 30331-2146
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN012765
GA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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