NPI | 1114618295 |
---|---|
Doing Business As | BOCA DENTAL AND BRACES |
Entity Type | Organization |
Authorized Contact | WYATT STOTT DANNELS Owner 480-209-5722 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-05-18 |
Last Update Date | 2023-11-01 |