| Mra Orthodontics Pa | |
|
12180 S Shore Blvd Ste 101 Wellington FL 33414-6505 | |
| (561) 793-9888 | |
| Not Available |
| Full Name | Mra Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12180 S Shore Blvd Ste 101, Wellington, Florida |
| Authorized Official Name and Position | Michael Wiernicki (ORTHODONTIST) |
| Authorized Official Contact | 5612894374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mra Orthodontics Pa 12180 S Shore Blvd Ste 101 Wellington FL 33414-6505 Ph: (561) 793-9888 | Mra Orthodontics Pa 12180 S Shore Blvd Ste 101 Wellington FL 33414-6505 Ph: (561) 793-9888 |
| NPI Number | 1770352346 |
|---|---|
| Provider Enumeration Date | 12/25/2023 |
| Last Update Date | 12/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770352346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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