NPI | 1922569607 |
---|---|
Doing Business As | BOCA DENTAL & BRACES |
Entity Type | Organization |
Authorized Contact | WYATT STOTT DANNELS Owner 702-456-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-03-26 |
Last Update Date | 2019-06-11 |