Organization
WOODALL ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH WOODALL (OFFICE MANAGER)
(770) 459-1956
Entity
Organization
Contact information
Practice address
237 S CARROLL RD, VILLA RICA, GA 30180-2607
(770) 459-1956
Mailing address
PO BOX 1927, VILLA RICA, GA 30180-6439
(770) 459-1956
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN012989
GA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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