| Your Ortho Llc | |
|
2236 Logan Blvd N Ste 502 Naples FL 34119-1490 | |
| (301) 481-6726 | |
| Not Available |
| Full Name | Your Ortho Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2236 Logan Blvd N Ste 502, Naples, Florida |
| Authorized Official Name and Position | Lauren Widmer (MEMBER) |
| Authorized Official Contact | 3014816726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Ortho Llc 1735 Oakes Blvd Naples FL 34119-8658 Ph: (301) 481-6726 | Your Ortho Llc 2236 Logan Blvd N Ste 502 Naples FL 34119-1490 Ph: (301) 481-6726 |
| NPI Number | 1578157848 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578157848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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