| 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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