Nicholas J. Brajevich, D.d.s. Incorporated | |
23727 Hawthorne Blvd Suite 4b Torrance CA 90505-5938 | |
(310) 378-1283 | |
(310) 378-3549 |
Full Name | Nicholas J. Brajevich, D.d.s. Incorporated |
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Speciality | Dentist - Pediatric Dentistry |
Location | 23727 Hawthorne Blvd, Torrance, California |
Authorized Official Name and Position | Nicholas John Brajevich (PEDIATRIC DENTIST) |
Authorized Official Contact | 3103781283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicholas J. Brajevich, D.d.s. Incorporated 23727 Hawthorne Blvd Suite 4b Torrance CA 90505-5938 Ph: (310) 378-1283 | Nicholas J. Brajevich, D.d.s. Incorporated 23727 Hawthorne Blvd Suite 4b Torrance CA 90505-5938 Ph: (310) 378-1283 |
NPI Number | 1811011455 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 10/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811011455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 41064 (California) | Primary |
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