| NPI | 1851811293 |
|---|---|
| Former Legal Business Name | BRACES U OKLAHOMA PLLC |
| Entity Type | Organization |
| Authorized Contact | KOLTON F ERICKSON President 405-227-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-03-12 |