| Windermere Orthodontics Llc | |
|
3120 Mathis Airport Pkwy Suite 106 Suwanee GA 30024-9128 | |
| (770) 888-1929 | |
| (770) 888-1859 |
| Full Name | Windermere Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3120 Mathis Airport Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Michael L Gorlovsky (OWNER) |
| Authorized Official Contact | 7708881929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windermere Orthodontics Llc 3120 Mathis Airport Pkwy Suite 106 Suwanee GA 30024-9128 Ph: (770) 888-1929 | Windermere Orthodontics Llc 3120 Mathis Airport Pkwy Suite 106 Suwanee GA 30024-9128 Ph: (770) 888-1929 |
| NPI Number | 1497086367 |
|---|---|
| Provider Enumeration Date | 01/16/2010 |
| Last Update Date | 01/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497086367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN013818 (Georgia) | Primary |
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