# ALBERT BROAS D.D.S INC

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

## Provider details

- **NPI number:** 1245627504
- **Authorized official:** ALBERTO OTANEZ BROAS DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (619) 420-9027

## Contact information

- **Practice address:** 1295 BROADWAY STE 204, CHULA VISTA, CA 91911-2982
- **Practice address phone:** (619) 420-9027
- **Mailing address:** 1295 BROADWAY STE 204, CHULA VISTA, CA 91911-2982
- **Mailing address phone:** (619) 420-9027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 44835 | CA | Yes |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 04/23/2015