| Cape Cod Braces Llc | |
|
429 South St Hyannis MA 02601-5430 | |
| (508) 771-1415 | |
| Not Available |
| Full Name | Cape Cod Braces Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 429 South St, Hyannis, Massachusetts |
| Authorized Official Name and Position | Peter T Phan (OWNER) |
| Authorized Official Contact | 5087711415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Cod Braces Llc 429 South St Hyannis MA 02601-5430 Ph: (508) 771-1415 | Cape Cod Braces Llc 429 South St Hyannis MA 02601-5430 Ph: (508) 771-1415 |
| NPI Number | 1902215932 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902215932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN21842 (Massachusetts) | Primary |
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