NPI | 1194200840 |
---|---|
Doing Business As | MARCHETTO COOPER ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MARISSA NICOLE COOPER President 772-215-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-09-28 |