| NPI | 1154512515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA ALEXIS SHRAGER Orthodontist 407-992-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 16446) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |