| NPI | 1245421650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN CUPO Orthodontist 305-278-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ DN13006) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |