| NPI | 1437400934 |
|---|---|
| Doing Business As | EASTSIDE BRACES |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SAYED MAINAYAR CEO 425-753-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60298960) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2014-07-15 |