| NPI | 1346614211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KOEHLER ZELL Orthodontist 904-404-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |