Organization
1-800-GO-DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY K BARTELLI D.M.D (PRESIDENT)
(361) 851-2828
Entity
Organization
Contact information
Practice address
6262 WEBER RD, SUITE 120, CORPUS CHRISTI, TX 78413-4006
(361) 851-2828
(361) 851-2830
Mailing address
6262 WEBER RD, SUITE 120, CORPUS CHRISTI, TX 78413-4006
(361) 851-2828
(361) 851-2830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186353202
—
TX
Enumeration date
02/01/2009
Last updated
02/01/2009
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