NPI | 1124492327 |
---|---|
Doing Business As | PRESTWICH ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | TYLER C PRESTWICH Owner 701-852-2646 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ND 2271) |
Enumeration Date | 2015-11-25 |
Last Update Date | 2021-01-07 |