NPI | 1306238779 |
---|---|
Doing Business As | PITTMAN ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | LANCE PITTMAN Orthodontist/President 304-596-0425 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 3950) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |