NPI | 1750695920 |
---|---|
Doing Business As | WESTSIDE ORTHODONTICTS AND PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | DAVID E THOME Owner 954-644-2332 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18799) |
Enumeration Date | 2010-07-30 |
Last Update Date | 2010-07-30 |