NPI | 1306471826 |
---|---|
Doing Business As | BOCA DENTAL AND BRACES |
Entity Type | Organization |
Authorized Contact | DIANA JESSENIA CAZZALY General Manager Of Oporations 702-456-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |