NPI | 1619213105 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD SANTELLI Orthodontist 561-866-5669 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN17283) |
Enumeration Date | 2013-01-02 |
Last Update Date | 2013-01-02 |