Organization
THE BRACES PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUHAB RIZKALLAH (PRESIDENT)
(617) 872-4499
Entity
Organization
Contact information
Practice address
335 COMMON ST, LAWRENCE, MA 01840-1262
(978) 975-1000
Mailing address
30 COLLEGE AVE, SOMERVILLE, MA 02144-1914
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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