NPI | 1013601681 |
---|---|
Doing Business As | MARYVILLE FAMILY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MONICA T GINART President 305-505-3470 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-06-06 |