NPI | 1134561137 |
---|---|
Doing Business As | 125 ST. BRACES |
Entity Type | Organization |
Authorized Contact | DANIEL KUNCIO Member 646-505-8852 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 051019) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2013-07-19 |