| Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms | |
|
850 E. Grand Avenue Suite A Escondido CA 92025-3435 | |
| (760) 741-4061 | |
| (760) 432-8764 |
| Full Name | Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 850 E. Grand Avenue, Escondido, California |
| Authorized Official Name and Position | Ryan D. Harbertson (OWNER/PARTNER) |
| Authorized Official Contact | 7607414061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms 850 E. Grand Avenue Suite A Escondido CA 92025-3435 Ph: (760) 741-4061 | Bradley D. Bourcy Dds Ms And Ryan D. Harbertson Dds Ms 850 E. Grand Avenue Suite A Escondido CA 92025-3435 Ph: (760) 741-4061 |
| NPI Number | 1417967290 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 01/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417967290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 042637 (California) | Primary |
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