# THE BRACES PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083038780
- **Authorized official:** DR. ROBERT F. GARRISON DMD (OWNER)
- **Authorized official phone:** (803) 661-8468

## Contact information

- **Practice address:** 502 N LAKE DR, LEXINGTON, SC 29072-2806
- **Practice address phone:** (803) 359-4480
- **Mailing address:** 502 N LAKE DR, LEXINGTON, SC 29072-2806
- **Mailing address phone:** (803) 359-4480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 302494 | SC | Yes |

## Other

- **Enumeration date:** 02/17/2014
- **Last updated:** 02/17/2014