| NPI | 1174196190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON L ZIPPER CEO/Orthodontist 561-880-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-03-17 |