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General NPI Number Information
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NPI Number | 1902774847
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Entity Type | Organization
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Legal Business Name | B & R DENTAL CARE INC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 7484 UNIVERSITY AVE STE 150
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City | LA MESA
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State | CA
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Zip | 91942-6084
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Country | US
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Telephone | 951-217-4110
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Fax | 619-462-2290
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Provider Business Mailing Address
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Address Line | 7484 UNIVERSITY AVE STE 150
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City | LA MESA
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State | CA
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Zip | 91942-6084
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Country | US
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Telephone | 619-462-2272
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Fax | 619-462-2290
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | BRENDA EVANS-LOUKA
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Credential | DDS
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Telephone | 619-462-2272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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