| NPI | 1124772181 |
|---|---|
| Doing Business As | MATSUMOTO ORTHODONTICS & PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | KENSUKE MATSUMOTO President 910-726-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-26 |