NPI | 1295279925 |
---|---|
Doing Business As | MY FAMILY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | LAURIS JOHNSON Owner 407-810-8271 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 16876) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2016-12-15 |