Organization
MRA ORTHODONTICS PA
Active
Organization
MRA ORTHODONTICS PA
Active
Other names
OrthoMike Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WIERNICKI DMD MS (ORTHODONTIST)
(561) 289-4374
Entity
Organization
Contact information
Practice address
12180 S SHORE BLVD STE 101, WELLINGTON, FL 33414-6505
(561) 793-9888
Mailing address
12180 S SHORE BLVD STE 101, WELLINGTON, FL 33414-6505
(561) 793-9888
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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