Braces World LLC

NPI #1386195600 in Freeport, New York

Provider Information

NPI Number: 1386195600
Entity Type: Organization
Organization Name: Braces World LLC
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Oct 21, 2016
Last Updated: Oct 21, 2016

Practice Location

Address: 30 S OCEAN AVE RM 301
City: Freeport
State: New York
ZIP Code: 11520-3550
Phone: (516) 600-9145

Authorized Official

Name: HECTOR PENA
Title: OWNER
Phone: (516) 600-9145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X

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