NPI | 1023384187 |
---|---|
Former Legal Business Name | INMAN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | GREGORY KEITH INMAN Partner 270-769-1349 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2012-03-22 |
Last Update Date | 2012-03-22 |