NPI 1114478609

West Cobb Orthodontics LLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Kennesaw, GA

Practice location

Address: 1690 Stone Village Ln NW STE 910, Kennesaw, GA 30152-7714
Phone: (678) 401-4321

Authorised official

Name: Ruchir Patel
Title: President
Phone: (734) 709-3730

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence DN014542 (GA)

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Registry record

NPI: 1114478609
Entity type: Organization
NPI issued: 19 Oct 2016
Record last updated: 19 Oct 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.