| NPI | 1962511659 |
|---|---|
| Doing Business As | ALPINE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEE JACKSON Owner 619-445-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 37034) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |