NPI | 1417628397 |
---|---|
Other Name | BAUM BRACES |
Entity Type | Organization |
Authorized Contact | ELIZABETH CAMPBELL CEO 617-535-3305 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-09-21 |
Last Update Date | 2023-01-09 |