Individual
BREANNA BARTOLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15 SIERRA GATE PLZ, ROSEVILLE, CA 95678-6602
(916) 786-6777
Mailing address
15 SIERRA GATE PLZ, ROSEVILLE, CA 95678-6602
(916) 786-6777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106878
CA
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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