NPI | 1083112072 |
---|---|
Doing Business As | UNCOMMON ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | SAMANTHA HARE Office Manager 417-625-1114 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-01-25 |