| Bravo Dental Corporation | |
|
215 N State College Blvd Ste E Anaheim CA 92806-2934 | |
| (714) 635-0892 | |
| Not Available |
| Full Name | Bravo Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 215 N State College Blvd Ste E, Anaheim, California |
| Authorized Official Name and Position | Luz S Bravo (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7146350892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravo Dental Corporation 215 N State College Blvd Ste E Anaheim CA 92806-2934 Ph: (714) 635-0892 | Bravo Dental Corporation 215 N State College Blvd Ste E Anaheim CA 92806-2934 Ph: (714) 635-0892 |
| NPI Number | 1548094436 |
|---|---|
| Provider Enumeration Date | 09/02/2024 |
| Last Update Date | 09/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548094436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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