NPI | 1942855176 |
---|---|
Doing Business As | SAMUELSON ORTHODONTICS |
Doing Business As | MEDPLEX PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | BENJAMIN EARL SAMUELSON Orthodontist/Partner 205-910-0143 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-08-05 |
Last Update Date | 2023-09-12 |