| NPI | 1972113652 |
|---|---|
| Doing Business As | SOUTH EVERETT ORTHODONTIST |
| Entity Type | Organization |
| Authorized Contact | WILLIAM OLIVER CEO And Owner 425-338-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |