Organization
BRANSON BRACES LLC
Active
Organization
BRANSON BRACES LLC
Active
Other names
Branson Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAKE DDS, MSD (MEMBER)
(417) 256-5100
Entity
Organization
Contact information
Practice address
168 S. PAYNE STEWART DR., STE 100, BRANSON, MO 65616
(417) 335-4746
Mailing address
168 S PAYNE STEWART DR, STE 100, BRANSON, MO 65616
(417) 335-4746
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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