| NPI | 1578001616 |
|---|---|
| Other Name | NORTHWEST ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JESS R GRAY Owner 479-521-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3427) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |