| NPI | 1881829299 |
|---|---|
| Doing Business As | SUPER BRACES |
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY President/Owner 508-755-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA ma20511) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2021-05-17 |