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Organization

BRACES R US

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TROY ALAN WILLIAMS DDS, MDS (ORTHODONTIST)
(480) 668-8200
Entity
Organization

Contact information

Practice address
1702 S VAL VISTA DR # 101, MESA, AZ 85204-7304
(480) 668-8200
(480) 668-8202
Mailing address
1702 S VAL VISTA DR # 101, MESA, AZ 85204-7304
(480) 668-8200
(480) 668-8202

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D008176
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841393212
NPI
AZ
Enumeration date
03/19/2014
Last updated
03/19/2014
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