NPI | 1093206450 |
---|---|
Doing Business As | BURG ORTHODONTICS HUNTER PARK |
Entity Type | Organization |
Authorized Contact | MARCI NICOL COO 801-918-4135 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |