| NPI | 1649704347 |
|---|---|
| Doing Business As | BRAVO DENTAL GROUP OF CORONA |
| Entity Type | Organization |
| Authorized Contact | AYED HAWATMEH CEO 951-898-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49108) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2019-12-18 |