| NPI | 1194921304 |
|---|---|
| Doing Business As | GULF COAST ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MICHELE B. LABODA Owner 239-561-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN13753) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-06-19 |