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Organization
ALBERT BROAS D.D.S INC
Active
Organization
ALBERT BROAS D.D.S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO OTANEZ BROAS DDS (PRESIDENT/DENTIST)
(619) 420-9027
Entity
Organization
Contact information
Practice address
1295 BROADWAY STE 204, CHULA VISTA, CA 91911-2982
(619) 420-9027
Mailing address
1295 BROADWAY STE 204, CHULA VISTA, CA 91911-2982
(619) 420-9027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44835
CA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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