| NPI | 1437478674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN NEIL STEARN Owner 7182-630-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2011-11-08 |