| Bravo Dental | |
|
801 Conover Dr Grand Prairie TX 75051-1519 | |
| (214) 704-6778 | |
| Not Available |
| Full Name | Bravo Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 801 Conover Dr, Grand Prairie, Texas |
| Authorized Official Name and Position | Rita Ne (OWNER) |
| Authorized Official Contact | 2147046778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravo Dental 10333 Woodford Dr Dallas TX 75229-6316 Ph: (214) 704-6778 | Bravo Dental 801 Conover Dr Grand Prairie TX 75051-1519 Ph: (214) 704-6778 |
| NPI Number | 1285093526 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285093526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18807 (Texas) | Primary |
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