NPI | 1689157588 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD V. BROWN Owner 985-893-1044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-09-07 |
Last Update Date | 2018-09-07 |