| NPI | 1790148294 |
|---|---|
| Doing Business As | CORAL ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | PRATHIMA KRISHNA ADUSUMILLI Owner 561-212-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 18968) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-02-08 |