Organization
BRACE BUSTERS LLC
Active
Organization
BRACE BUSTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BRESLER DMD (OWNER)
(215) 677-0380
Entity
Organization
Contact information
Practice address
211 GEIGER RD, SUITE B, PHILADELPHIA, PA 19115-1009
(215) 677-0380
(215) 969-0215
Mailing address
211 GEIGER RD, SUITE B, PHILADELPHIA, PA 19115-1009
(215) 677-0380
(215) 969-0215
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029645820001
—
PA
Enumeration date
09/24/2014
Last updated
04/12/2017
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