NPI | 1124715180 |
---|---|
Doing Business As | QUINCY FAMILY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ZACHARY KOFOS Owner 617-678-3125 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-04-20 |
Last Update Date | 2024-02-23 |