NPI | 1881169134 |
---|---|
Doing Business As | BRACES TOWN PC |
Entity Type | Organization |
Authorized Contact | CECILIA ARTEAGA Office Manager 708-863-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-10-12 |
Last Update Date | 2018-10-12 |