Healthcare Provider Details

I. General information

NPI: 1326762030
Provider Name (Legal Business Name): ALIGNER IN A BOX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1886 TREASURE CV
CELEBRATION FL
34747-5588
US

IV. Provider business mailing address

1886 TREASURE CV
CELEBRATION FL
34747-5588
US

V. Phone/Fax

Practice location:
  • Phone: 407-837-5818
  • Fax:
Mailing address:
  • Phone: 407-837-5818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126900000X
TaxonomyDental Laboratory Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code292200000X
TaxonomyDental Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE FABIO DE MORAES NETO
Title or Position: CEO
Credential:
Phone: 407-837-5818