| NPI | 1083233001 |
|---|---|
| Doing Business As | BOCA DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | WYATT S DANNELS Owner 702-381-7059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |