BRADLEY DAVID REVENIS

PEARL HARBOR, HI
NPI1609385368
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AZ  9872)
Enumeration Date2017-09-26
Last Update Date2024-07-24
Business Address
Dr. BRADLEY DAVID REVENIS DDS
NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVENUE
PEARL HARBOR, HI 96860
Phone number: 808-257-3365
Mailing Address
Dr. BRADLEY DAVID REVENIS DDS
21ST DENTAL COMPANY, 3RD DENTAL BN BLDG 6905, HARRIS AV
KANEOHE BAY, HI 96863
Phone number:
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