| NPI | 1124182696 |
|---|---|
| Doing Business As | THE BRACE PLACE |
| Entity Type | Organization |
| Authorized Contact | STUART KIMMEL Orthodontist 904-249-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN4620) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-06-09 |