| Brady Nielsen Dds, Inc. | |
|
675 Camino De Los Mares Ste 303 San Clemente CA 92673-2837 | |
| (949) 627-0230 | |
| (949) 627-0370 |
| Full Name | Brady Nielsen Dds, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 675 Camino De Los Mares Ste 303, San Clemente, California |
| Authorized Official Name and Position | Brady Nielsen (PRESIDENT) |
| Authorized Official Contact | 3108835017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brady Nielsen Dds, Inc. 675 Camino De Los Mares Ste 303 San Clemente CA 92673-2837 Ph: (949) 627-0230 | Brady Nielsen Dds, Inc. 675 Camino De Los Mares Ste 303 San Clemente CA 92673-2837 Ph: (949) 627-0230 |
| NPI Number | 1710572581 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710572581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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