Organization
BRAVMAN ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J BRAVMAN DMD, MS (OWNER)
(508) 771-6665
Entity
Organization
Contact information
Practice address
68 CAMP STREET, HYANNIS, MA 02061
(508) 771-6665
(508) 790-4119
Mailing address
68 CAMP STREET, HYANNIS, MA 02061
(508) 771-6665
(508) 790-4119
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14452
MA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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