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Organization

CHILDREN AND TEEN ORTHO GROUP OF FLORIDA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN SMITH (CEO)
(770) 231-5348
Entity
Organization

Contact information

Practice address
5245 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-3967
(727) 847-3113
(727) 847-2904
Mailing address
2300 LAKEVIEW PKWY, ALPHARETTA, GA 30009-9082
(727) 784-2721

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
10/07/2022
Last updated
10/07/2022
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