| Bramhall Dental Corp | |
|
1108 S Main Ave Fallbrook CA 92028-3325 | |
| (760) 728-2261 | |
| (760) 728-2313 |
| Full Name | Bramhall Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1108 S Main Ave, Fallbrook, California |
| Authorized Official Name and Position | Ryan Eugene Bramhall (PRESIDENT) |
| Authorized Official Contact | 8015990008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bramhall Dental Corp 1108 S Main Ave Fallbrook CA 92028-3325 Ph: (760) 728-2261 | Bramhall Dental Corp 1108 S Main Ave Fallbrook CA 92028-3325 Ph: (760) 728-2261 |
| NPI Number | 1487266417 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487266417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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