Brett Michael Wonenberg DDS

NPI 1073783163 - Dentist - 1223G0001X

NPI Details
NPI 1073783163
Gender Male
Enumeration Date 03/05/2008
Last Updated 03/05/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1730 MAIN ST
SUITE A
FORTUNA CA, 95540-2451, US
Phone (707) 725-1303
Fax (707) 725-1358
Business Location
1730 MAIN ST
SUITE A
FORTUNA CA, 95540-2451, US
Phone (707) 725-1303
Fax (707) 725-1358
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 49706
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According to our database, Brett Michael Wonenberg DDS NPI is 1073783163, taxonomy code is 1223G0001X and license number is 49706, license state is located at California. Brett Michael Wonenberg DDS physically located at 1730 Main St, Fortuna CA, 95540-2451. NPI Number Brett Michael Wonenberg DDS has the Individual type.

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1073783163 NPI number is provided on an as is basis without warranty of any kind. 1073783163 is maintained by the National Plan & Provider Enumeration System. The contents of Brett Michael Wonenberg DDS are for informational purposes only.