NPI | 1275385288 |
---|---|
Doing Business As | DESMAN AND JACOBUS ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ALEXANDER ROBERT DESMAN Orthodontist 772-349-1092 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |