Organization
BRACES BRACES BRACES OF STONEHAVEN - DRAPER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
177 W 12300 S, SUITE 101, DRAPER, UT 84020-9816
(801) 224-0320
(801) 619-2001
Mailing address
177 W 12300 S, SUITE 101, DRAPER, UT 84020-9816
(801) 224-0320
(801) 619-2001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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