NPI | 1174356596 |
---|---|
Doing Business As | CENTRAL PARK WEST ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA-ROCHA Sr Credentialing Team Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-08-21 |