Organization
MITCHELL AND BARTLETT ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY MITCHELL (OWNER)
(336) 855-8900
Entity
Organization
Contact information
Practice address
5314 W FRIENDLY AVE STE B, GREENSBORO, NC 27410-4351
(336) 855-8900
(336) 855-0183
Mailing address
5314 W FRIENDLY AVE STE B, GREENSBORO, NC 27410-4351
(336) 855-8900
(336) 855-0183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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