Organization
CHCL ORTHODONTICS LLC
Active
Other names
Dacula Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR HUMBERTO CARDENAS DMD (OWNER/PRESIDENT)
(770) 963-0083
Entity
Organization
Contact information
Practice address
842 DACULA RD, SUITE 102, DACULA, GA 30019-3185
(770) 963-0083
(770) 963-0084
Mailing address
842 DACULA RD, SUITE 102, DACULA, GA 30019-3185
(770) 963-0083
(770) 963-0084
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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