| NPI | 1518248814 |
|---|---|
| Doing Business As | HAYWARD BRACES |
| Entity Type | Organization |
| Authorized Contact | SUPAKIT PEANCHITLERTKAJORN Owner 510-581-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56947) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |