Dr Carla Bryan DDS

Dentist · San Clemente, CA

Organization Active NPI

NPI number 1205176468

Practice location

657 Camino De Los Mares Ste 138
San Clemente, CA 92673-2810
Phone
(949) 487-6780
Fax
(949) 487-6781

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NPI record

NPI
1205176468
Entity type
Organization (Type 2)
Enumeration date
February 26, 2013
Last updated
February 26, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DV25362 CA

Authorized official

Name
Dr. Carla Peterson Bryan, DDS
Title
Owner
Phone
(949) 487-6780

About Dr Carla Bryan DDS

Dr Carla Bryan DDS is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 657 Camino De Los Mares Ste 138, San Clemente, CA 92673-2810. The NPI number 1205176468 was assigned on February 26, 2013 and the record was last updated on February 26, 2013.

Dr Carla Bryan DDS lists a license in the registry: #DV25362 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Carla Peterson Bryan, DDS, Owner.

Frequently asked questions

What is the NPI number of Dr Carla Bryan DDS?

The NPI number is 1205176468.

What is the phone number of Dr Carla Bryan DDS?

The phone number listed for the practice location is (949) 487-6780.

Where is Dr Carla Bryan DDS located?

657 Camino De Los Mares Ste 138, San Clemente, CA 92673-2810.

What is the taxonomy code for Dr Carla Bryan DDS?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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