NPI | 1043077985 |
---|---|
Doing Business As | BROADBENT ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CHARLOTTE V DASCH Director Of Cred And Pr 504-638-0303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-03-05 |