| NPI | 1093398356 |
|---|---|
| Doing Business As | SHORT ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KEISHA BROWN Practice Manager 609-927-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |