| Bravaz Dental Llc | |
|
4700 Sheridan St Ste A1 Hollywood FL 33021-3416 | |
| (954) 966-1166 | |
| Not Available |
| Full Name | Bravaz Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 4700 Sheridan St Ste A1, Hollywood, Florida |
| Authorized Official Name and Position | Lissandra M Vazquez Grillo (MANAGER) |
| Authorized Official Contact | 9549661166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravaz Dental Llc 4700 Sheridan St Ste A1 Hollywood FL 33021-3416 Ph: (954) 966-1166 | Bravaz Dental Llc 4700 Sheridan St Ste A1 Hollywood FL 33021-3416 Ph: (954) 966-1166 |
| NPI Number | 1265011688 |
|---|---|
| Provider Enumeration Date | 04/04/2021 |
| Last Update Date | 04/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265011688 | NPI | - | NPPES |
| 1952831711 | Other | PPO DENTAL INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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