NPI | 1124402912 |
---|---|
Doing Business As | PEDEN & HOFFMAN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DEREK HOFFMAN President 904-264-4519 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 20979) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |