Organization
DEPEW AND YOUNG ORTHODONTICS, LLC
Active
Organization
DEPEW AND YOUNG ORTHODONTICS, LLC
Active
Other names
Depew Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD DOUGLAS DEPEW DMD, MS (ORGANIZER)
(770) 422-3939
Entity
Organization
Contact information
Practice address
2161 CEDARCREST RD, ACWORTH, GA 30101-6404
(770) 974-8255
Mailing address
2161 CEDARCREST RD, ACWORTH, GA 30101-6404
(770) 974-8255
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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