| NPI | 1114432531 |
|---|---|
| Doing Business As | BOCA DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | DIANA J CAZZALY Office Manager 702-960-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-06-16 |