| NPI | 1750037107 |
|---|---|
| Doing Business As | HARVEST GROVE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MECCA ABDULLAH Owner/Orthodontist 318-527-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-06-09 |