| Pda Ortho Specialty Of Georgia, Llc | |
|
3450 Cobb Pkwy Nw Ste 160 Acworth GA 30101-8379 | |
| (770) 222-2322 | |
| Not Available |
| Full Name | Pda Ortho Specialty Of Georgia, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3450 Cobb Pkwy Nw Ste 160, Acworth, Georgia |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pda Ortho Specialty Of Georgia, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: () - | Pda Ortho Specialty Of Georgia, Llc 3450 Cobb Pkwy Nw Ste 160 Acworth GA 30101-8379 Ph: (770) 222-2322 |
| NPI Number | 1982169173 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982169173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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