David E. Brockett D.d.s. Inc.
NPI #1114239738 in La Jolla, California
Provider Information
- NPI Number
- 1114239738
- Entity Type
- Organization
- Organization Name
- David E. Brockett D.d.s. Inc.
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 12, 2010
- Last Updated
- Jul 12, 2010
Practice Location
- Address
- 7804 IVANHOE AVE.
- City
- La Jolla
- State
- California
- ZIP Code
- 92037
- Phone
- (858) 454-1468
Authorized Official
- Name
- DAVID EASTMAN BROCKETT, DDS.
- Title
- PRESIDENT
- Phone
- (858) 454-1468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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