| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LISA DELUCIA BRUNO | 1740442672 | 2024-07-06 |
Lisa Delucia Bruno is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740442672. Registration indicates Lisa Delucia Bruno is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Pediatric Dentistry, ) (Dental, ) (Dentist Pediatric Dentistry, Dental Providers) (Dentist, ) Access to Dental Specialists (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: Pediatric Dentistry, ) (Dental, ) (Dentist Pediatric Dentistry, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Lisa Delucia Bruno DDS |
| Other Provider Name | Dr. Lisa M Delucia |
| Practice Office Address | 1110 CROSSPOINTE LN STE D WEBSTER, NY US |
| Practice Office Telephone | 5858720150 |
| Practice Office Fax | 5858726183 |
| Mailing Address | 1110 CROSSPOINTE LN STE D WEBSTER, NY 145802968 US |
| Business Telephone | 5858720150 |
| Business Fax | 5858726183 |
| Code | Practice | License No State |
|---|---|---|
| 1223P0221X | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Pediatric Dentistry Dental Dentist Pediatric Dentistry Dental Providers Dentist | 10032
MA |
| 1223P0221X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Pediatric Dentistry Dental Dentist Pediatric Dentistry Dental Providers Dentist | 055071
NY |