| NPI | 1205685724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEDJO PALO Owner Orthodontist 203-695-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-06-13 |