| NPI | 1689439309 |
|---|---|
| Doing Business As | BRIGHAM ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | THY MINH LY Executor Of Trust 480-767-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |