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DR. JUSTIN MICHAEL BRAGA D.D.S.

Periodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1851525018

Individual Registrant:
DR. JUSTIN MICHAEL BRAGA D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
2001 PACIFIC COAST HWY APT 12  HERMOSA BEACH, CA 90254-3144 US
Tel: 415-235-1327  Fax: --

Contact information for business:
2001 PACIFIC COAST HWY APT 12  HERMOSA BEACH, CA 90254-3144 US
Tel: 415-235-1327  Fax: --

Registration Information:
NPI: 1851525018
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
CA53765

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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