| NPI | 1780053108 |
|---|---|
| Doing Business As | FRESH ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ANKUSH KHANNA Orthodontist/Owner 347-708-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 054655-1) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |