| Pd Ortho Llc | |
|
10930 Crabapple Rd Ste 106 Roswell GA 30075-5825 | |
| (770) 651-1000 | |
| Not Available |
| Full Name | Pd Ortho Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10930 Crabapple Rd Ste 106, Roswell, Georgia |
| Authorized Official Name and Position | Katina Satterfield (REGIONAL MANAGER) |
| Authorized Official Contact | 7706511000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pd Ortho Llc 570 W Crossville Rd Ste 203 Roswell GA 30075-7517 Ph: (770) 651-1000 | Pd Ortho Llc 10930 Crabapple Rd Ste 106 Roswell GA 30075-5825 Ph: (770) 651-1000 |
| NPI Number | 1407363963 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407363963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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