Organization
BRAVO DALLAS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG MUN JUNG (OWNER)
(201) 937-1551
Entity
Organization
Contact information
Practice address
4712 DEXTER DR STE 100, PLANO, TX 75093-5291
(201) 937-1551
Mailing address
4712 DEXTER DR STE 100, PLANO, TX 75093-5291
(201) 937-1551
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01575
TX
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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