| NPI | 1215625371 |
|---|---|
| Doing Business As | SPA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SANA P AUGUSTUS Owner/Orthodontist 301-708-3012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |