NPI | 1225629108 |
---|---|
Former Legal Business Name | KRISTAL SMILES PLLC |
Entity Type | Organization |
Authorized Contact | THOMAS F BRAUN Owner 203-685-8217 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-02-02 |
Last Update Date | 2024-08-05 |