NPI | 1053485524 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON MAGNUSON Orthodontist 506-924-9860 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 3458) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 7628) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 7718) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-08-22 |