| NPI | 1861877102 |
|---|---|
| Doing Business As | VALDERRAMA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | NATALIA VALDERRAMA DOUGHERTY President/Owner 904-434-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN19651) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: FL DN19651) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |