<Unavail>

LBN: Orthodontic Professional Services
<Unavail> is an health care organization with primary practice located at 1813 Se Port St Lucie Blvd , Port St Lucie FL 34952-5544. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Orthodontic Professional Services can be contacted via phone (772) 528-3434, or through Matamoros, Marcela via phone (772) 528-3434.

Contact Information

Primary practice address
1813 Se Port St Lucie Blvd Port St Lucie FL 34952-5544
Phone: (772) 528-3434
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matamoros, Marcela Doctor of Dental Medicine (DMD)
Phone: (772) 528-3434

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN20300 Florida

Profile Details

NPI number 1669977203
LBN Legal business name Orthodontic Professional Services
DBA Doing business as <Unavail>
Authorized official Matamoros, Marcela Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2018
Last updated Mar 26th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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