| NPI | 1164864336 |
|---|---|
| Doing Business As | BRANSON BRACES |
| Entity Type | Organization |
| Authorized Contact | MARK DAKE Member 417-256-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |