| Dr Carla Bryan Dds | |
|
657 Camino De Los Mares Ste 138 San Clemente CA 92673-2810 | |
| (949) 487-6780 | |
| (949) 487-6781 |
| Full Name | Dr Carla Bryan Dds |
|---|---|
| Speciality | Dentist |
| Location | 657 Camino De Los Mares Ste 138, San Clemente, California |
| Authorized Official Name and Position | Carla Peterson Bryan (OWNER) |
| Authorized Official Contact | 9494876780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carla Bryan Dds 657 Camino De Los Mares Ste 138 San Clemente CA 92673-2810 Ph: (949) 487-6780 | Dr Carla Bryan Dds 657 Camino De Los Mares Ste 138 San Clemente CA 92673-2810 Ph: (949) 487-6780 |
| NPI Number | 1205176468 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205176468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DV25362 (California) | Primary |
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