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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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