Chcl Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Dacula, GA. Organization (NPI-2).
NPI number1699178657
StatusActive
Last updated in NPPESOct 6, 2014
Details
- NPI
- 1699178657
- Entity type
- Organization (NPI-2)
- Legal business name
- Chcl Orthodontics LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2014
- Last updated
- Oct 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Dacula Orthodontics (Doing Business As)
Practice location
842 Dacula RdSuite 102
Dacula, GA 30019-3185
Phone 770-963-0083 · Fax 770-963-0084
Mailing address
842 Dacula RdSuite 102
Dacula, GA 30019-3185
Phone 770-963-0083 · Fax 770-963-0084
Authorized official
Cesar Humberto Cardenas
Owner/President
7709630083
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