| NPI | 1932658978 |
|---|---|
| Doing Business As | LAKE WORTH ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARC L ANDERSON Owner 561-408-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA dn16898) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |