DR. George W Brazeal, D.D.S.

NPI #1003807199 in Corona Del Mar, California

Provider Information

NPI Number
1003807199
Entity Type
Individual
Name
DR. George W Brazeal, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Oct 29, 2005
Last Updated
Aug 7, 2007

Practice Location

Address
2345 E COAST HWY
Address 2
SUITE B
ZIP Code
92625-2034
Phone
(949) 673-6443

Specialties & Taxonomy Codes

Specialty
Dentist

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