| NPI | 1154159408 |
|---|---|
| Doing Business As | STELLAR ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LAURA DEYO Orthodontist 310-913-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |