NPI | 1275312068 |
---|---|
Entity Type | Organization |
Authorized Contact | SERGE MECHREK Authorized Official 904-729-2866 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2023-09-21 |
Last Update Date | 2023-10-23 |