| NPI | 1770851131 |
|---|---|
| Doing Business As | ORTHODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES ISON President 859-489-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 20408) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |