NPI | 1700264017 |
---|---|
Doing Business As | DERBY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | GRANT SNIDER Orthodontist 316-260-6566 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 60925) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2015-05-07 |