Organization
JUSTIN BRAGA DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BRAGA DDS, MS (PRESIDENT)
(415) 235-1327
Entity
Organization
Contact information
Practice address
1844 SAN MIGUEL DR STE 309, WALNUT CREEK, CA 94596-4963
(925) 938-5633
Mailing address
110 DANVILLA CT, DANVILLE, CA 94526-2402
(415) 235-1327
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
53765
CA
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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