| Super Braces | |
|
39 Elm St Suite 301 Southbridge MA 01550-2644 | |
| (508) 909-6719 | |
| Not Available |
| Full Name | Super Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 39 Elm St, Southbridge, Massachusetts |
| Authorized Official Name and Position | Houssam Alkhoury (PRESIDENT) |
| Authorized Official Contact | 5085055040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Braces 87 Elm St Third Floor Hopkinton MA 01748-1638 Ph: (508) 589-8270 | Super Braces 39 Elm St Suite 301 Southbridge MA 01550-2644 Ph: (508) 909-6719 |
| NPI Number | 1699214593 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699214593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN20511 (Massachusetts) | Primary |
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