| NPI | 1770072274 |
|---|---|
| Doing Business As | BOCA DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | WYATT DANNELS Owner 702-456-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 6743) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-06-16 |