| NPI | 1295469716 |
|---|---|
| Doing Business As | CHAMPION ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEN SASO Executive Manager 916-479-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |