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NPI Code Detail

MEDICARE: BRITTANY NGIA

MEDICARE:   BRITTANY  NGIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist110240CA

General Provider Information

NPI Number : 1598501926
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY NGIA
Provider Business Mailing Address
First Line : 1233 OXFORD ST
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1233 OXFORD ST
Second Line :
City : BERKELEY
State : CA
Zip : 94709-1422
Country : US
Telephone Number : 248-480-1382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2024
Last Update Date : 07/16/2024

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Directions to “ BRITTANY NGIA ” Practice Location

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