NPI | 1316679814 |
---|---|
Doing Business As | LAIDLAW ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | VICNETA REYES Credentialing Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-06-24 |
Last Update Date | 2022-06-24 |