| NPI | 1104278910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA COZZARELLI Orthodontist/Owner 954-404-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: FL DN17976) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |