| NPI | 1407487408 |
|---|---|
| Doing Business As | ORTHODONTIC SPECIALISTS OF TUCSON |
| Entity Type | Organization |
| Authorized Contact | BRIAN WILDE Orthodontist 520-742-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |