Organization
BRAVO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA F. NE D.D.S.,M.S. (OWNER)
(214) 704-6778
Entity
Organization
Contact information
Practice address
4701 BRYANT IRVIN RD N, FORT WORTH, TX 76107-7627
(214) 307-5676
Mailing address
4001 MCEWEN RD STE 408, DALLAS, TX 75244-5054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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