NPI | 1174639413 |
---|---|
Doing Business As | JARRELL ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KEVIN THOMAS JARRELL President Orthodontist 765-453-4261 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12009911A) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-08-22 |