NPI | 1255041034 |
---|---|
Doing Business As | NORDSTROM ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BARRETT NORDSTROM Manager 617-335-3015 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-12-01 |
Last Update Date | 2022-12-01 |