DR. Bradley David Revenis, DDS
NPI #1609385368 in Pearl Harbor, Hawaii
Provider Information
- NPI Number
- 1609385368
- Entity Type
- Individual
- Name
- DR. Bradley David Revenis, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 26, 2017
- Last Updated
- Jul 24, 2024
Practice Location
- Address
- NAVAL HEALTH CLINIC HAWAII
- Address 2
- 480 CENTRAL AVENUE
- City
- Pearl Harbor
- State
- Hawaii
- ZIP Code
- 96860
- Phone
- (808) 257-3365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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