| Affordable Braces | |
|
559 W Twincourt Trl Suite 602 St Augustine FL 32095-8805 | |
| (404) 414-0106 | |
| Not Available |
| Full Name | Affordable Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 559 W Twincourt Trl, St Augustine, Florida |
| Authorized Official Name and Position | Jason P Ouellette (OWNER - ORTHODONTIST) |
| Authorized Official Contact | 4044140106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Braces 559 W Twincourt Trl Suite 602 St Augustine FL 32095-8805 Ph: (404) 414-0106 | Affordable Braces 559 W Twincourt Trl Suite 602 St Augustine FL 32095-8805 Ph: (404) 414-0106 |
| NPI Number | 1538533674 |
|---|---|
| Provider Enumeration Date | 11/29/2015 |
| Last Update Date | 11/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538533674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN19187 (Florida) | Primary |
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