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 |