| NPI | 1023772704 |
|---|---|
| Doing Business As | BRUSHES AND BRACKETS DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | TANYA WALL Owner 904-751-5126 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |