NPI | 1861724551 |
---|---|
Doing Business As | COURTESY DENTAL AND ORTHODONTICS - SPARKS |
Entity Type | Organization |
Authorized Contact | TERRI GARDINER Credentialing Coordinator 407-772-5124 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4547) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2011-01-12 |