NPI | 1003345802 |
---|---|
Doing Business As | VALERIAN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KEYVAN TAVAKOLI President 910-922-5707 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN22487) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2022-07-21 |