Organization
THE BEST BRACES PLLC
Active
Organization
THE BEST BRACES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA KRIVICHKIN (GENERAL MANAGER)
(248) 207-5218
Entity
Organization
Contact information
Practice address
18860 W 10 MILE RD, SOUTHFIELD, MI 48075-2666
(248) 565-3331
Mailing address
18860 W 10 MILE RD, SOUTHFIELD, MI 48075-2666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13301
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021142
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901021276
MI
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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