IndividualActive
Elizabeth Brutus, R.D.H.A.P.
NPI 1376929638 · Advanced Practice Dental Therapist · San Bernardino, CA
Provider details
- NPI number
- 1376929638
- Entity type
- Individual
- Primary specialty
- Advanced Practice Dental TherapistDental Providers
- Credential
- R.D.H.A.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19425 (CA)
Practice location
2623 S Andrews Ln
San Bernardino, CA 92408-4191
Phone: (909) 222-4654
Mailing address
2623 S Andrews Ln
San Bernardino, CA 92408-4191
Registry dates
- Enumerated
- 2015-08-09
- Last updated
- 2021-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.