Organization
BRACES BRACES BRACES OF ABBEVILLE - LUBBOCK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
3801 50TH ST, SUITE 15, LUBBOCK, TX 79413-3807
(806) 833-5437
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8537
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
04/07/2015
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