| Eisenstein Orthodontics | |
|
1771 Lee Rd Suite A Lithia Springs GA 30122-3071 | |
| (770) 739-1111 | |
| Not Available |
| Full Name | Eisenstein Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1771 Lee Rd, Lithia Springs, Georgia |
| Authorized Official Name and Position | Oleg Eduard Eisenstein (PRESEDENT) |
| Authorized Official Contact | 4043247877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisenstein Orthodontics 215 Arbor Creek Way Roswell GA 30076 Ph: (404) 324-7877 | Eisenstein Orthodontics 1771 Lee Rd Suite A Lithia Springs GA 30122-3071 Ph: (770) 739-1111 |
| NPI Number | 1528398823 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 01/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528398823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN012526 (Georgia) | Primary |
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