David E. Brockett D.d.s. Inc. | |
7804 Ivanhoe Ave. La Jolla CA 92037 | |
(858) 454-1468 | |
(858) 454-1696 |
Full Name | David E. Brockett D.d.s. Inc. |
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Speciality | Dentist |
Location | 7804 Ivanhoe Ave., La Jolla, California |
Authorized Official Name and Position | David Eastman Brockett (PRESIDENT) |
Authorized Official Contact | 8584541468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David E. Brockett D.d.s. Inc. 7804 Ivanhoe Ave. La Jolla CA 92037 Ph: (858) 454-1468 | David E. Brockett D.d.s. Inc. 7804 Ivanhoe Ave. La Jolla CA 92037 Ph: (858) 454-1468 |
NPI Number | 1114239738 |
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Provider Enumeration Date | 07/12/2010 |
Last Update Date | 07/12/2010 |
Identifier | Type | State | Issuer |
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1114239738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 25483 (California) | Primary |
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