NPI | 1043300262 |
---|---|
Doing Business As | ORTHODONTIC CARE SPECIALISTS LTD |
Entity Type | Organization |
Authorized Contact | TIMOTHY JAMES MONTGOMERY President 952-432-1103 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2006-10-16 |
Last Update Date | 2008-07-08 |