Individual
DR. MICHAEL LEROY BRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3511 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650-5378
(520) 378-6684
Mailing address
3511 CANYON DE FLORES, SUITE B, SIERRA VISTA, AZ 85650-5378
(520) 378-6684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
014337
MO
1223G0001X
General Practice Dentistry
Primary
6317
AZ
Other
Enumeration date
05/22/2006
Last updated
11/26/2007
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