Brian Mudd Dds Pdc

NPI 1013285436 - Dentist - 1223S0112X

NPI Details
NPI 1013285436
Enumeration Date 12/13/2011
Last Updated 10/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRIAN D BRIAN
Position ADMIN
Phone (760) 727-5613
Fax (760) 727-4225
Practice Location
3211 BUSINESS PARK DR
SUITE A
VISTA CA, 92081-8529, US
Phone (760) 727-5613
Fax (760) 727-4225
Business Location
1477 SAN PABLO DR
SAN MARCOS CA, 92078-4701, US
Phone (760) 727-5613
Fax (760) 727-4225
Toxanomy
Taxonomy Code 1223S0112X
License State California
License Number 87
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According to our database, Brian Mudd Dds Pdc NPI is 1013285436, taxonomy code is 1223S0112X and license number is 87, license state is located at California. Brian Mudd Dds Pdc physically located at 3211 Business Park Dr, Vista CA, 92081-8529. NPI Number 1033115704 has the healthcare provider type.

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1013285436 NPI number is provided on an as is basis without warranty of any kind. 1013285436 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Mudd Dds Pdc are for informational purposes only.