| NPI | 1134642382 |
|---|---|
| Doing Business As | ORTHODONTIC SPECIALISTS OF THE INDIAN VALLEY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN SILVESTRE Owner 267-225-8932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |