NPI | 1164295325 |
---|---|
Former Legal Business Name | BOCA DENTAL AND BRACES |
Entity Type | Organization |
Authorized Contact | JOHANA RIOS Billing Manager 702-522-1929 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-11-06 |