Organization
KARMA PRIME LLC
Active
Organization
KARMA PRIME LLC
Active
Other names
iClear Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KALPESHKUMAR THAKKAR (MEMBER)
(404) 902-5327
Entity
Organization
Contact information
Practice address
600 CHASTAIN RD NW, STE 426 - ICLEAR ORTHODONTICS, KENNESAW, GA 30144-3004
(404) 902-5327
Mailing address
625 W CROSSVILLE RD, STE 200, ROSWELL, GA 30075-7503
(404) 902-5327
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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