Individual
ELIZABETH BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.A.P.
Contact information
Practice address
2623 S ANDREWS LN, SAN BERNARDINO, CA 92408-4191
(909) 222-4654
Mailing address
2623 S ANDREWS LN, SAN BERNARDINO, CA 92408-4191
(909) 222-4654
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
19425
CA
125K00000X
Advanced Practice Dental Therapist
Primary
585
CA
Other
Enumeration date
08/09/2015
Last updated
01/12/2021
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