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1457052888
BRETT MICHAEL BRACCO
LAKEWOOD, CA
NPI
1457052888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 110783)
Enumeration Date
2023-03-13
Last Update Date
2024-11-13
Business Address
BRETT MICHAEL BRACCO
2710 CARSON ST
LAKEWOOD, CA 90712-4051
Phone number: 562-275-8113
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Mailing Address
BRETT MICHAEL BRACCO
2069 E 3RD ST APT 11
LONG BEACH, CA 90814-6123
Phone number: 917-932-4415
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