NPI | 1295150126 |
---|---|
Doing Business As | BOWIE BRACES |
Entity Type | Organization |
Authorized Contact | ALEXIS KIRKLAND Owner/Orthodontist 301-383-0514 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 14532) |
Enumeration Date | 2014-03-01 |
Last Update Date | 2014-03-01 |