| NPI | 1740400126 |
|---|---|
| Former Legal Business Name | BRAVO DENTAL CLINICS PA |
| Entity Type | Organization |
| Authorized Contact | FH FARZAM Dentist 713-453-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18688) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 19027) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |