Oscar A Bracamontes | Tijuana, BAJA CALIFORNIA • PECOS Search

Oscar A Bracamontes

Dentist

Dental Providers

German Gedovius 9505, Suite 104, Tijuana, Baja California 22010 (Mexico)

(664) 634-7461 (619) 946-1071

PECOS Enrollment

Based on the most recent information from CMS, provider Oscar A Bracamontes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1851479802
Provider Type
Individual
Full Name
Bracamontes, Oscar A
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/1/2006
Last Updated
8/23/2016

Contact Information

Practice Location

German Gedovius 9505, Suite 104, Tijuana, Baja California 22010 (Mexico)

Unlisted Fax

Mailing Location

PO Box 999, Imperial Beach, CA 91933-0999

(619) 946-1071

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 2763785 California