| Braces Braces Braces | |
|
6408 W Highway 146 Unit 10 Crestwood KY 40014-9575 | |
| (502) 241-3176 | |
| Not Available |
| Full Name | Braces Braces Braces |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6408 W Highway 146, Crestwood, Kentucky |
| Authorized Official Name and Position | Stephen James (COO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braces Braces Braces 2005 S Highway 53 La Grange KY 40031-9109 Ph: (502) 225-0074 | Braces Braces Braces 6408 W Highway 146 Unit 10 Crestwood KY 40014-9575 Ph: (502) 241-3176 |
| NPI Number | 1548413271 |
|---|---|
| Provider Enumeration Date | 10/26/2008 |
| Last Update Date | 10/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548413271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8621 (Kentucky) | Primary |
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