NPI | 1093398216 |
---|---|
Doing Business As | SOUTH SPRINGS ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MICHELLE JOHNSON Credentialing Specialist 509-315-8338 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-05-05 |
Last Update Date | 2021-05-05 |