# BRAVO DALLAS WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225432701
- **Authorized official:** SUNG MUN JUNG (OWNER)
- **Authorized official phone:** (201) 937-1551

## Contact information

- **Practice address:** 4712 DEXTER DR STE 100, PLANO, TX 75093-5291
- **Practice address phone:** (201) 937-1551
- **Mailing address:** 4712 DEXTER DR STE 100, PLANO, TX 75093-5291
- **Mailing address phone:** (201) 937-1551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC01575 | TX | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 10/13/2014