Braces One Llc | |
1598 Marion Mount Gilead Rd Marion OH 43302-5820 | |
(740) 386-6600 | |
Not Available |
Full Name | Braces One Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1598 Marion Mount Gilead Rd, Marion, Ohio |
Authorized Official Name and Position | Sang Pham (MANAGER) |
Authorized Official Contact | 6464003630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Braces One Llc 1598 Marion Mount Gilead Rd Marion OH 43302-5820 Ph: (740) 386-6600 | Braces One Llc 1598 Marion Mount Gilead Rd Marion OH 43302-5820 Ph: (740) 386-6600 |
NPI Number | 1760618284 |
---|---|
Provider Enumeration Date | 06/10/2009 |
Last Update Date | 06/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760618284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30-022960 (Ohio) | Primary |
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