The Brace Place, Inc

NPI 1063528149 - Dentist - 1223X0400X

NPI Details
NPI 1063528149
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BARRY MARTIN BARRY
Position PRESIDENT
Phone (352) 242-1818
Fax (352) 242-4835
Practice Location
1000 EAST AVE
CLERMONT FL, 34711-2534, US
Phone (352) 242-1818
Fax (352) 242-4835
Business Location
15637 GREATER TRL
CLERMONT FL, 34711-8178, US
Phone (352) 242-1818
Fax (352) 242-4835
Toxanomy
Taxonomy Code 1223X0400X
License State Florida
License Number 5309
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According to our database, The Brace Place, Inc NPI is 1063528149, taxonomy code is 1223X0400X and license number is 5309, license state is located at Florida. The Brace Place, Inc physically located at 1000 East Ave, Clermont FL, 34711-2534. NPI Number 1033115704 has the healthcare provider type.

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1063528149 NPI number is provided on an as is basis without warranty of any kind. 1063528149 is maintained by the National Plan & Provider Enumeration System. The contents of The Brace Place, Inc are for informational purposes only.