| NPI | 1598882367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRFAIG C LEWIS Orthodontist 407-846-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 6886) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2020-08-22 |