Organization
KING & MCCUNE ORTHODONTICS, LLC
Active
Organization
KING & MCCUNE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE REYNAUD KING D.D.S. (MANAGING MEMBER)
(404) 233-1972
Entity
Organization
Contact information
Practice address
3401 NORTHSIDE PARKWAY NW, SUITE 200, ATLANTA, GA 30327-2316
(404) 233-1972
Mailing address
3401 NORTHSIDE PARKWAY NW, SUITE 200, ATLANTA, GA 30327-2316
(404) 233-1972
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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