NPI | 1104090091 |
---|---|
Doing Business As | BRACES BRACES BRACES |
Entity Type | Organization |
Authorized Contact | STEPHEN JAMES CFO 502-254-8504 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2008-04-22 |
Last Update Date | 2014-06-16 |