| NPI | 1457121618 |
|---|---|
| Doing Business As | AMAZING BRACE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LATISHA HENDERSON Owner/CEO 856-444-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |