Organization · Type 2 NPI
BR Pucan II Professional Dental Corporation
Dental Clinic/Center · Hercules, CA
NPI number
1366093460
Active
Practice location
1581 Sycamore Ave Ste 3
Hercules, CA 94547-1700
Mailing address
2143 Springs Rd. Suite 51
Vallejo, CA 94591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Hercules
About NPI 1366093460
BR Pucan II Professional Dental Corporation's National Provider Identifier is 1366093460, issued on Sep 20, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hercules, CA. The record was last updated on Dec 16, 2019.