| NPI | 1326442187 |
|---|---|
| Doing Business As | ICON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ANDREW P SARPOTDAR Orthodontist 858-663-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D008698) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |