NPI | 1154191153 |
---|---|
Doing Business As | LIGHTNING ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ISIS EL GHANNAM Owner 786-716-1589 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-01-02 |
Last Update Date | 2024-01-02 |