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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