NPI | 1851644504 |
---|---|
Doing Business As | COMFORT BRACES WEST MESA |
Entity Type | Organization |
Authorized Contact | MARK STASI Partner / Owner 303-549-1912 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 8340) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-10-18 |