| NPI | 1922303668 |
|---|---|
| Doing Business As | SUPER BRACES |
| Entity Type | Organization |
| Authorized Contact | HOUSSAM ALKHOURY President 508-589-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 20511) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2023-03-13 |