Individual
DR. BERTHA DINA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
302 GREENWICH STREET, HEMPSTEAD, NY 11550
(516) 485-1145
(516) 485-8386
Mailing address
302 GREENWICH STREET, HEMPSTEAD, NY 11550
(516) 485-1145
(516) 485-8386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0442781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353584
—
NY
Enumeration date
02/27/2007
Last updated
07/08/2007
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