Organization
FOUNDATIONS ORTHODONTICS LLC
Active
Organization
FOUNDATIONS ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BENNETT RPH, MD, DMD (ORTHODONTIST)
(706) 284-9600
Entity
Organization
Contact information
Practice address
317 REDMOND RD NW, ROME, GA 30165-1539
(706) 291-2901
Mailing address
PO BOX 88, ROME, GA 30162-0088
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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