NPI | 1831767383 |
---|---|
Doing Business As | BRAVO FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MATTHEW DEKOW Dentist 512-537-4892 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-06-11 |
Last Update Date | 2021-09-29 |