| NPI | 1003598376 |
|---|---|
| Doing Business As | SIMPLE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SEAN K CARLSON President 415-746-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-08-29 |