| NPI | 1407086796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN ARTHUR SIMON Orthodontist 305-385-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL dn5781) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |