Bramhall Dental Corp | |
1108 S Main Ave Fallbrook CA 92028-3325 | |
(760) 728-2261 | |
(760) 728-2313 |
Full Name | Bramhall Dental Corp |
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Speciality | Clinic/center - Dental |
Location | 1108 S Main Ave, Fallbrook, California |
Authorized Official Name and Position | Ryan Eugene Bramhall (PRESIDENT) |
Authorized Official Contact | 8015990008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bramhall Dental Corp 1108 S Main Ave Fallbrook CA 92028-3325 Ph: (760) 728-2261 | Bramhall Dental Corp 1108 S Main Ave Fallbrook CA 92028-3325 Ph: (760) 728-2261 |
NPI Number | 1487266417 |
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Provider Enumeration Date | 08/20/2020 |
Last Update Date | 08/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487266417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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