NPI | 1639897820 |
---|---|
Doing Business As | SOLOMON ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | VICENTA REYES Credentialing Manager 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-08-15 |
Last Update Date | 2022-08-15 |