Organization
BRACES R US PC
Active
Organization
BRACES R US PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUNJAN DHIR (DIRECTOR)
(617) 281-7947
Entity
Organization
Contact information
Practice address
8337 SUMMER PARK DR, FORT WORTH, TX 76123-1991
(617) 281-7947
Mailing address
419 OLD ELKHART RD, STE 120, PALESTINE, TX 75801-5922
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24348
TX
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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