Organization · Type 2 NPI

Cedar Dental Clinical I, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Mcdonough, GA

NPI number 1003423039 Active

Practice location

119 Willow Ln
Mcdonough, GA 30253-6574

Fax (678) 432-9419

Mailing address

6801 Governors Lake Pkwy Ste 290
Peachtree Corners, GA 30071-1136

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: 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 malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1003423039

Cedar Dental Clinical I, LLC's National Provider Identifier is 1003423039, issued on Sep 24, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mcdonough, GA. The record was last updated on Sep 24, 2020.