| NPI | 1982357281 |
|---|---|
| Doing Business As | ATLANTIS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | H. DERICK PHAN Owner 408-251-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223X0008X Dentist, Oral and Maxillofacial Radiology | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |