Organization
ACES OF BRACES DSO LLC
Active
Other names
Aces of Braces
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
501 GULF FWY S STE 106, LEAGUE CITY, TX 77573-3537
(832) 720-3460
Mailing address
501 GULF FWY S STE 106, LEAGUE CITY, TX 77573-3537
(832) 720-3460
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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