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 |