Branson Braces | |
168 S. Payne Stewart Dr. Ste 100 Branson MO 65616 | |
(417) 335-4746 | |
Not Available |
Full Name | Branson Braces |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 168 S. Payne Stewart Dr., Branson, Missouri |
Authorized Official Name and Position | Mark Dake (MEMBER) |
Authorized Official Contact | 4172565100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Branson Braces 168 S Payne Stewart Dr Ste 100 Branson MO 65616 Ph: (417) 335-4746 | Branson Braces 168 S. Payne Stewart Dr. Ste 100 Branson MO 65616 Ph: (417) 335-4746 |
NPI Number | 1164864336 |
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Provider Enumeration Date | 07/29/2013 |
Last Update Date | 07/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164864336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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