Organization
BRAVO DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ALEJANDRA YANEZ BRAVO DDS (PRESIDENT)
(305) 496-3856
Entity
Organization
Contact information
Practice address
909 N MIAMI BEACH BLVD, SUITE 501, NORTH MIAMI BEACH, FL 33162-3712
(305) 945-9333
Mailing address
20904 LEEWARD CT, # 221, AVENTURA, FL 33180-3873
(305) 496-3856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004347700
—
FL
Enumeration date
11/19/2011
Last updated
07/14/2016
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