Organization
JOHN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIANE A JOHN DDS; MS (ORTHODONTIST)
(954) 575-3313
Entity
Organization
Contact information
Practice address
4651 N STATE ROAD 7 UNIT 1314, COCONUT CREEK, FL 33073-4378
(954) 575-3313
Mailing address
4651 N STATE ROAD 7 UNIT 1314, COCONUT CREEK, FL 33073-4378
(954) 575-3313
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 17809
FL
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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