| NPI | 1407935869 |
|---|---|
| Other Name | SOUTHSIDE ORTHODONTICS LTD |
| Entity Type | Organization |
| Authorized Contact | ASHTON WRIGHT POND President 804-526-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 401004005) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2013-01-22 |