NPI | 1598433278 |
---|---|
Former Legal Business Name | TANGELO ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MATTHEW BRADLEY HALL Owner 918-523-4999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-08-30 |
Last Update Date | 2021-08-30 |