| NPI | 1043525926 |
|---|---|
| Doing Business As | WOODHAVEN BRACES |
| Entity Type | Organization |
| Authorized Contact | DANIEL KUNCIO President 718-850-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051019) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |