| NPI | 1306428180 |
|---|---|
| Doing Business As | BRUEGGEN DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | LAERROL TERRELL JOHNSON Owner 281-879-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-05-19 |