Organization
BELTWAY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY B. MOODY DDS (OWNER)
(404) 642-6630
Entity
Organization
Contact information
Practice address
857 COLLIER RD NW STE 5A-5B, ATLANTA, GA 30318-2532
(404) 689-4140
Mailing address
857 COLLIER RD NW STE 5A-5B, ATLANTA, GA 30318-2532
(404) 689-4140
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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