Organization
BRUNA DE GOUVEIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUNA DE GOUVEIA DR (OWNER DENTIST)
(575) 887-7594
Entity
Organization
Contact information
Practice address
612 N CANYON ST, CARLSBAD, NM 88220-5842
(575) 887-7594
Mailing address
612 N CANYON ST, CARLSBAD, NM 88220-5842
(575) 887-7594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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