| NPI | 1598417669 |
|---|---|
| Doing Business As | THE MODERN ORTHODONTIST |
| Entity Type | Organization |
| Authorized Contact | LEVON BROWN Financial Coordinator 360-260-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |