Individual
ANITA NANDA BRAHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MDS
Contact information
Practice address
355 CENTRAL AVE, CLINICAS DEL CAMINO REAL, INC, FILLMORE, CA 93015
(805) 524-4926
(805) 524-4137
Mailing address
6086 SUNNY CREST DR, OAK PARK, CA 91377
(818) 991-3561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47455
CA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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