NPI | 1881187995 |
---|---|
Doing Business As | BRAVO DENTAL GROUP OF HEMET |
Entity Type | Organization |
Authorized Contact | AYED J HAWATMEH CEO 909-483-1379 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 49108) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2019-12-18 |