| NPI | 1790055804 |
|---|---|
| Doing Business As | VILLAGE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | GORDON S GROISSER Owner/President 301-393-2680 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 13507) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |