| 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 |