Organization
FAMILY ORTHODONTICS OF DC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMONIA LEONARD (CREDENTIALING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
5301 WISCONSIN AVE NW STE 200, WASHINGTON, DC 20015
(202) 686-6100
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
07/18/2018
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