Individual
CAROLINA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10430 PINES BLVD STE C103, PEMBROKE PINES, FL 33026-6049
(954) 251-0238
Mailing address
136 WIMBLEDON LAKE DR, PLANTATION, FL 33324-2423
(786) 227-2396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29258
FL
Other
Enumeration date
07/01/2024
Last updated
07/02/2024
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