Organization
BRACE DENTAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA OLMO (MANAGER)
(718) 328-8511
Entity
Organization
Contact information
Practice address
874 PROSPECT AVE, 2ND FL, BRONX, NY 10459-3926
(718) 328-8511
(718) 328-0327
Mailing address
874 PROSPECT AVE, 2ND FL, BRONX, NY 10459-3926
(718) 328-8511
(718) 328-0327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0521041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02717444
—
NY
Enumeration date
05/05/2008
Last updated
05/05/2008
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