George W Brazeal D.D.S.

NPI 1003807199 - Dentist - 122300000X

NPI Details
NPI 1003807199
Gender Male
Enumeration Date 10/29/2005
Last Updated 08/07/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2345 E COAST HWY
SUITE B
CORONA DEL MAR CA, 92625-2034, US
Phone (949) 673-6443
Fax
Business Location
2345 E COAST HWY
SUITE B
CORONA DEL MAR CA, 92625-2034, US
Phone (949) 673-6443
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 26591
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According to our database, Dr. George W Brazeal D.D.S. NPI is 1003807199, taxonomy code is 122300000X and license number is 26591, license state is located at California. George W Brazeal D.D.S. physically located at 2345 E Coast Hwy, Corona Del Mar CA, 92625-2034. NPI Number George W Brazeal D.D.S. has the Individual type.

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1003807199 NPI number is provided on an as is basis without warranty of any kind. 1003807199 is maintained by the National Plan & Provider Enumeration System. The contents of George W Brazeal D.D.S. are for informational purposes only.