| NPI | 1508198615 |
|---|---|
| Doing Business As | KIDS & BRACES |
| Entity Type | Organization |
| Authorized Contact | DAN CONG NGUYEN Orthodontist 562-943-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 46308) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |