Organization
SIMON ORTHODONTIC CENTERS P.A.
Active
Organization
SIMON ORTHODONTIC CENTERS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN ARTHUR SIMON DDS (ORTHODONTIST)
(305) 385-0911
Entity
Organization
Contact information
Practice address
13716 SW 84TH ST, MIAMI, FL 33183-4040
(305) 385-0911
(305) 385-2104
Mailing address
13716 SW 84TH ST, MIAMI, FL 33183-4040
(305) 385-0911
(305) 385-2104
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN5781
FL
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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