Organization
M I PICKRON PA
Active
Other names
Simply Braces
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PICKRON DMD (OWNER)
(404) 824-5190
Entity
Organization
Contact information
Practice address
6476 LAKE WORTH RD, GREENACRES, FL 33463-3008
(404) 824-5190
Mailing address
611 NE 12TH TER APT 1, BOYNTON BEACH, FL 33435-3264
(404) 824-5190
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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