| NPI | 1720103138 |
|---|---|
| Doing Business As | BRACE PLACE |
| Entity Type | Organization |
| Authorized Contact | GEORGE DAVID SARGISS Owner 732-462-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 18370) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |