<TABLE><TR><TH>요양기관명</TH><TH>전문의</TH><TH>전화번호</TH><TH>주소</TH></TR><TR><TD>미바른이치과교정과치과의원</TD><TD>1 / 1</TD><TD>062-971-2874</TD><TD>광주광역시 광산구 임방울대로 844, 3층 (쌍암동)</TD></TR></TABLE>