| NPI | 1366560443 |
|---|---|
| Doing Business As | MYORTHODONTIST |
| Entity Type | Organization |
| Authorized Contact | LARRY J MORAY President 919-240-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 5934) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-06-23 |