NPI | 1801478870 |
---|---|
Doing Business As | ICONIC ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BRANDON MORGAN Orthodontist / Owner 410-440-3713 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-04-28 |
Last Update Date | 2021-04-28 |