Organization
ORTHOMIKE ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS WIERNICKI DMD, MS (OWNER/PRESIDENT)
(561) 289-4374
Entity
Organization
Contact information
Practice address
190 NW SPANISH RIVER BLVD STE 100, BOCA RATON, FL 33431-4217
(561) 289-4374
Mailing address
190 NW SPANISH RIVER BLVD STE 100, BOCA RATON, FL 33431-4217
(561) 289-4374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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