NPI 1104285535

Iclear Orthodontics and Braces LLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry McDonough, GA

Practice location

Address: 420 McDonough Pkwy, McDonough, GA 30253-8946
Phone: (770) 914-2808

Authorised official

Name: Ruchir Patel
Title: Manager
Phone: (770) 914-2808

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence DN014542 (GA)

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Registry record

NPI: 1104285535
Entity type: Organization
NPI issued: 12 Feb 2016
Record last updated: 12 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.