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1114239738
DAVID E. BROCKETT D.D.S. INC.
LA JOLLA, CA
NPI
1114239738
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Entity Type
Organization
Authorized Contact
DAVID EASTMAN BROCKETT
President
858-454-1468
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 25483)
Enumeration Date
2010-07-12
Last Update Date
2010-07-12
Business Address
DAVID E. BROCKETT D.D.S. INC.
7804 IVANHOE AVE.
LA JOLLA, CA 92037
Phone number: 858-454-1468
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Mailing Address
DAVID E. BROCKETT D.D.S. INC.
7804 IVANHOE AVE.
LA JOLLA, CA 92037
Phone number: 858-454-1468
Copy
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