| NPI | 1245742386 |
|---|---|
| Doing Business As | BRIDGETOWN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RYAN SMITH Member 716-601-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |