| NPI | 1194587196 |
|---|---|
| Doing Business As | BLUE LAKE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ZEHRA SYED Owner/Orthodontist 205-473-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |