| NPI | 1891552196 |
|---|---|
| Doing Business As | KEYSTONE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOHN T MOORE General Manager 302-562-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |