| NPI | 1225155260 |
|---|---|
| Doing Business As | BRACE PLACE |
| Entity Type | Organization |
| Authorized Contact | BRAD JONATHAN ELKIN Doctor 609-448-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 21603) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-06-12 |