That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
GA license #DN012649taxonomy 1223X0400X
Identifiers
Type
Value
Notes
05 (GA)
1235292897
01 (GA)
9181762
GA PROVIDER NUMBER
01 (GA)
1585058
UNITED CONCORDIA
01 (GA)
9199332
GA PROVIDER ID
01 (GA)
100486
GA PROVIDER ID
01 (GA)
101869
GA PROVIDER ID
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Bright Smiles Orthodontics and Pediatric Dentistry
Type code 3recorded 2008-04-01
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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