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Organization
JUSTIN BRAGA DDS MS INC
Active
Organization
JUSTIN BRAGA DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BRAGA DDS, MS (PRESIDENT)
(415) 235-1327
Entity
Organization
Contact information
Practice address
1844 SAN MIGUEL DR STE 309, WALNUT CREEK, CA 94596-4963
(925) 938-5633
Mailing address
110 DANVILLA CT, DANVILLE, CA 94526-2402
(415) 235-1327
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53765
CA
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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