Moultrie Orthodontics, P.c.

NPI #1225473630 in Moultrie, Georgia

Provider Information

NPI Number
1225473630
Entity Type
Organization
Organization Name
Moultrie Orthodontics, P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 30, 2013
Last Updated
Apr 30, 2013

Practice Location

Address
12 LONGLEAF OFFICE PARK
State
Georgia
ZIP Code
31768
Phone
(229) 985-4715

Authorized Official

Name
DR. DALLAS H MARGESON, D.M.D., M.S.
Title
PRESIDENT
Phone
(229) 985-4715

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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