NPI | 1679147896 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDRA MASCARO CHAMEBRLAIN-UMANOFF CEO 909-856-9748 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-05-13 |
Last Update Date | 2021-05-13 |