Organization
THE BRACE PLACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY MARTIN RUBENSTEIN D.D.S. (PRESIDENT)
(352) 242-1818
Entity
Organization
Contact information
Practice address
1000 EAST AVE, CLERMONT, FL 34711-2534
(352) 242-1818
(352) 242-4835
Mailing address
15637 GREATER TRL, CLERMONT, FL 34711-8178
(352) 242-1818
(352) 242-4835
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5309
FL
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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