Organization · Type 2 NPI

Professional Dental Alliance of Country Walk Ortho, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Miami, FL

NPI number 1770130684 Active

Practice location

15795 SW 152nd St
Miami, FL 33187-5417

Call (305) 547-8390 Map

Mailing address

11 S Mill St Ste 200
New Castle, PA 16101-3680

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1770130684

Professional Dental Alliance of Country Walk Ortho, PLLC's National Provider Identifier is 1770130684, issued on Aug 26, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Miami, FL. The record was last updated on Aug 26, 2019.