Individual
ISABEL ANTOINETTE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
233 E 84TH DR STE 106, MERRILLVILLE, IN 46410-6454
(219) 736-2309
Mailing address
192 WEXFORD RD, VALPARAISO, IN 46385-8047
(219) 477-8384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014466A
IN
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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