| NPI | 1225768294 |
|---|---|
| Doing Business As | HAWTHORNE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MICKEL JOURABCHI CEO 818-825-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |