Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI # | 1316604887 |
||||
| LBN Legal business name | FAMILIES FIRST ORTHODONTICS | ||||
| Authorized official | ALISHA SHIGLEY - (OFFICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/19/2021 | ||||
| Last updated | 11/19/2021 - About 5 years ago | ||||
| Identifiers |
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