| NPI | 1871462366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOANNA ULRICH Owner/Orthodontist 813-955-2837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |