| NPI | 1699214593 |
|---|---|
| Doing Business As | SUPER BRACES |
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY President 508-505-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN20511) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2021-05-17 |