| NPI | 1568827608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO CHANG Orthodontist 954-210-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 16950) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |