NPI 1790217933

Mbp Orthodontics

Organisation Point of Service Greenwich, CT

Practice location

Address: 42 Sherwood Pl, Greenwich, CT 06830-5638
Phone: (203) 900-1111
Mailing address: 42 Sherwood Place, Greenwich, CT 06830

Authorised official

Name: Bina Park
Title: Owner
Phone: (212) 369-2462

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 050010-1 (NY)

Other Point of Service providers in Connecticut →

Registry record

NPI: 1790217933
Entity type: Organization
NPI issued: 28 Mar 2017
Record last updated: 28 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.