| NPI | 1912395005 |
|---|---|
| Doing Business As | BRACES LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | SAOLY BENSON Manager 702-838-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-272) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-164) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-03-17 |