| Brisbain R Pucan Professional Dental Corporation | |
|
2143 Springs Rd #51 Vallejo CA 94591-5566 | |
| (707) 552-3952 | |
| (707) 552-9320 |
| Full Name | Brisbain R Pucan Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2143 Springs Rd, Vallejo, California |
| Authorized Official Name and Position | Brisbain Rigor Pucan (DENTIST) |
| Authorized Official Contact | 7075523952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brisbain R Pucan Professional Dental Corporation 2143 Springs Rd #51 Vallejo CA 94591-5566 Ph: (707) 552-3952 | Brisbain R Pucan Professional Dental Corporation 2143 Springs Rd #51 Vallejo CA 94591-5566 Ph: (707) 552-3952 |
| NPI Number | 1487749362 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487749362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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