Organization
T.E.BRUNO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD EDWIN BRUNO DDS (PRESIDENT)
(404) 992-8760
Entity
Organization
Contact information
Practice address
5937 HIGHWAY 42, ELLENWOOD, GA 30294-3800
(770) 961-6272
(770) 961-0472
Mailing address
5937 HIGHWAY 42, ELLENWOOD, GA 30294-3800
(770) 961-6272
(770) 961-0472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010119
GA
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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