NPI | 1619207594 |
---|---|
Doing Business As | BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MARZIEH SHAFIE Owner Doctor 714-368-2077 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2009-12-28 |
Last Update Date | 2022-02-07 |