Organization
ACES OF BRACES DSO LLC
Active
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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