Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Br Pucan II Professional Dental Corporation

Organization Dental Clinic/Center · NPI 1366093460

Br Pucan II Professional Dental Corporation is a Dental Clinic/Center in Hercules, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1581 Sycamore Ave Ste 3
Hercules, CA 94547-1700
Phone: (510) 671-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1366093460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brisbain Pucan — Dentist/Owner · (707) 552-3952
NPI enumeratedSeptember 20, 2019
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address2143 Springs Rd. Suite 51, Vallejo, CA 94591

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