NPI | 1780188508 |
---|---|
Doing Business As | THE BRACES PLACE OF LYNN |
Entity Type | Organization |
Authorized Contact | JULIANA MASIELLO Corporate Manager 617-591-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA dn20416) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2018-03-19 |