| Brannon & Brannon A Professional Corporation | |
|
15525 Pomerado Road Suite C6 Poway CA 92064-2426 | |
| (858) 485-6600 | |
| (858) 673-5546 |
| Full Name | Brannon & Brannon A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 15525 Pomerado Road, Poway, California |
| Authorized Official Name and Position | Wayne Alan Brannon (PRESIDENT) |
| Authorized Official Contact | 8584856600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brannon & Brannon A Professional Corporation 15525 Pomerado Road Suite C6 Poway CA 92064-2426 Ph: (858) 485-6600 | Brannon & Brannon A Professional Corporation 15525 Pomerado Road Suite C6 Poway CA 92064-2426 Ph: (858) 485-6600 |
| NPI Number | 1184686842 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184686842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22048 (California) | Primary |
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