Individual
CARMEN D. BRAMBILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
695 MAIN ST, WALTHAM, MA 02451-0609
(781) 899-7070
(781) 899-1802
Mailing address
695 MAIN ST, WALTHAM, MA 02451-0609
(781) 899-7070
(781) 899-1802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856140
MA
1223P0221X
Pediatric Dentistry
Primary
DN1856140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098455A
—
MA
Enumeration date
08/18/2008
Last updated
03/20/2015
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