| West Cobb Orthodontics Llc | |
|
1690 Stone Village Ln Nw Ste 910 Kennesaw GA 30152-7714 | |
| (678) 401-4321 | |
| Not Available |
| Full Name | West Cobb Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1690 Stone Village Ln Nw Ste 910, Kennesaw, Georgia |
| Authorized Official Name and Position | Ruchir Patel (PRESIDENT) |
| Authorized Official Contact | 7347093730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cobb Orthodontics Llc 1690 Stone Village Ln Nw Ste 910 Kennesaw GA 30152-7714 Ph: (678) 401-4321 | West Cobb Orthodontics Llc 1690 Stone Village Ln Nw Ste 910 Kennesaw GA 30152-7714 Ph: (678) 401-4321 |
| NPI Number | 1114478609 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114478609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN014542 (Georgia) | Primary |
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