| NPI | 1679062574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT V LAW Owner 800-864-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 6638) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |