Surfside Orthodontics Pa Valid NPI
Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Fort Walton Beach, FL
- NPI
- 1205176021
- Type
- Organization (Type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 16286 (FL)
- Enumerated
- 2013-02-15
- Last updated
- 2013-02-15
Practice location
28 Racetrack Rd Nw
Fort Walton Beach, FL 32547-1640
(850) 863-2122