NPI | 1649907387 |
---|---|
Doing Business As | DELTA ORTHODONTIC SPECIALISTS, LLC |
Entity Type | Organization |
Authorized Contact | ELAINE GARDNER Office Manager 601-638-8230 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-08-03 |
Last Update Date | 2022-08-03 |