Brambila, Carmen D.

Brambila, Carmen D. is an individual health care provider with primary practice located at 695 Main St , Waltham MA 02451-0609. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Brambila, Carmen D. can be contacted via phone (781) 899-7070.

Contact Information

Primary practice address
695 Main St Waltham MA 02451-0609
Phone: (781) 899-7070
Fax: (781) 899-1802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1856140 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X DN1856140 Massachusetts

Profile Details

NPI number 1801043138
LBN Legal business name Brambila, Carmen D.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Mar 20th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801043138 NPPES
Massachusetts MEDICAID 110098455A

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