Provider Demographics
NPI:1245125699
Name:BRUNA BARROS, D.M.D., PLLC
Entity type:Organization
Organization Name:BRUNA BARROS, D.M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUNA
Authorized Official - Middle Name:MAYARA
Authorized Official - Last Name:GARBIN PAES DE BARROS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-948-2265
Mailing Address - Street 1:2925 NW 126TH AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-6322
Mailing Address - Country:US
Mailing Address - Phone:321-948-2265
Mailing Address - Fax:
Practice Address - Street 1:17913 NW 7TH ST STE 103
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2811
Practice Address - Country:US
Practice Address - Phone:954-391-8309
Practice Address - Fax:954-534-9468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental