| T.e.bruno, Inc. | |
|
5937 Highway 42 Ellenwood GA 30294-3800 | |
| (770) 961-6272 | |
| (770) 961-0472 |
| Full Name | T.e.bruno, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5937 Highway 42, Ellenwood, Georgia |
| Authorized Official Name and Position | Todd Edwin Bruno (PRESIDENT) |
| Authorized Official Contact | 4049928760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.e.bruno, Inc. 5937 Highway 42 Ellenwood GA 30294-3800 Ph: (770) 961-6272 | T.e.bruno, Inc. 5937 Highway 42 Ellenwood GA 30294-3800 Ph: (770) 961-6272 |
| NPI Number | 1962534636 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962534636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010119 (Georgia) | Primary |
Cassandra R Stewart Dds Mph Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5937 Highway 42, Ellenwood, GA 30294 Phone: 248-342-7057 Fax: 678-567-7928 | |
Fairview Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Fairview Rd, Ellenwood, GA 30294 Phone: 281-728-5042 |