NPI | 1003410143 |
---|---|
Doing Business As | KENT ISLAND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ROBERT LARAWAY Owner 717-579-3741 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-11-30 |
Last Update Date | 2022-11-22 |