NPI | 1750976536 |
---|---|
Doing Business As | DENTAL CARE ORTHODONTIST |
Entity Type | Organization |
Authorized Contact | JACQUELINE MERCADO Office Manager 203-979-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-03-04 |
Last Update Date | 2021-03-04 |