NPI | 1699330712 |
---|---|
Doing Business As | BRACE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW MAX NOBLE Owner 520-378-6684 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-05-03 |
Last Update Date | 2019-08-27 |