Organization · NPI-2

99 Braces

Dentist · El Paso, TX

NPI number1194164392
StatusActive
Last updated in NPPESJun 20, 2013

Details

NPI
1194164392
Entity type
Organization (NPI-2)
Legal business name
99 Braces
Organization subpart
No
Enumeration date
Jun 20, 2013
Last updated
Jun 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist24362TXYes

Practice location

9411 Alameda Ave
Ste P
El Paso, TX 79907-5640

Phone 915-858-6868

Mailing address

9411 Alameda Ave
Ste P
El Paso, TX 79907-5640

Phone 915-858-6868

Authorized official

Jeffrey Erickson
Dmd
9158586868

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