| NPI | 1366847600 |
|---|---|
| Doing Business As | THE BRACE PLACE |
| Entity Type | Organization |
| Authorized Contact | CHARLES W MASON Partner 406-752-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |