Individual
DR. BRUNA NEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
3223 N BROAD ST RM 319, PHILADELPHIA, PA 19140-5007
(215) 707-2953
(215) 707-2802
Mailing address
3223 N BROAD ST, ROOM 311 - 3RD FLOOR, PHILADELPHIA, PA 19140-5007
(215) 707-2953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1617
FL
1223P0300X
Periodontics
Primary
RFD000057
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811349517
UNIVERSITY OF FLORIDA
FL
Enumeration date
07/06/2016
Last updated
11/02/2024
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