Organization
DEL RAY ORTHODONTICS LLC
Active
Other names
Delray Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
10 SE 1ST AVE STE C, DELRAY BEACH, FL 33444-3693
(561) 437-8668
Mailing address
10 SE 1ST AVE STE C, DELRAY BEACH, FL 33444-3693
(561) 437-8668
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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