Chcl Orthodontics LLC

NPI #1699178657 in Dacula, Georgia

Provider Information

NPI Number: 1699178657
Entity Type: Organization
Organization Name: Chcl Orthodontics LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Oct 6, 2014
Last Updated: Oct 6, 2014

Practice Location

Address: 842 DACULA RD
Address 2: SUITE 102
City: Dacula
State: Georgia
ZIP Code: 30019-3185
Phone: (770) 963-0083

Authorized Official

Name: DR. CESAR HUMBERTO CARDENAS, DMD
Title: OWNER/PRESIDENT
Phone: (770) 963-0083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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