| Brandon Lebeck Dental Corp | |
|
801 River Dr Fort Bragg CA 95437-5404 | |
| (707) 964-8080 | |
| Not Available |
| Full Name | Brandon Lebeck Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 801 River Dr, Fort Bragg, California |
| Authorized Official Name and Position | Brandon Lebeck (PRESIDENT) |
| Authorized Official Contact | 4084765459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Lebeck Dental Corp 801 River Dr Fort Bragg CA 95437-5404 Ph: (707) 964-8080 | Brandon Lebeck Dental Corp 801 River Dr Fort Bragg CA 95437-5404 Ph: (707) 964-8080 |
| NPI Number | 1174330963 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174330963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Roderick E Mcmillen Dds A Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Sequoia Circle, Fort Bragg, CA 95347 Phone: 707-964-0242 Fax: 707-964-0244 | |
Neil S Wilensky Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 River Drive, Fort Bragg, CA 95437 Phone: 707-961-4270 Fax: 707-961-4275 |