Organization
CAPE COD BRACES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T PHAN D.M.D (OWNER)
(508) 771-1415
Entity
Organization
Contact information
Practice address
429 SOUTH ST, HYANNIS, MA 02601-5430
(508) 771-1415
Mailing address
429 SOUTH ST, HYANNIS, MA 02601-5430
(508) 771-1415
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21842
MA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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