NPI | 1245942929 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN ALEXANDER LAMBERTON Orthodontist 707-815-8974 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-12-14 |
Last Update Date | 2022-12-14 |