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Contact Information

BRADLEY A. ELI DENTAL CORPORATION
2095 W VISTA WAY STE 218
VISTA, CA92083-6029
 Phone: 760-436-6365
 Fax: 760-436-5123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orofacial Pain

1223X2210X
 

Oral Medicinist

125Q00000X
Indicates primary specialty

NPI Profile & details for BRADLEY A. ELI DENTAL CORPORATION

NPI Number 1962533919
LBN Legal business name BRADLEY A. ELI DENTAL CORPORATION
Authorized official BRADLEY ELI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 05/11/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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