NPI | 1649309071 |
---|---|
Doing Business As | CENTRAL FLORIDA ORTHODONTIC SPECIALIST |
Entity Type | Organization |
Authorized Contact | AVANTHI KOPURI President 305-788-4415 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL P00000094134) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-28 |