Organization
MY SMILE BUT BETTER
Active
Other names
Amazing Brace Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATISHA HENDERSON DMD (OWNER/CEO)
(856) 444-5259
Entity
Organization
Contact information
Practice address
4200 DEARBORN CIRCLE, MOUNT LAUREL, NJ 08054
(856) 444-5259
Mailing address
4200 DEARBORN CIRCLE, MOUNT LAUREL, NJ 08054
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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