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1538525035
DAVID E BROCKETT
LA JOLLA, CA
NPI
1538525035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 25483)
Enumeration Date
2016-01-13
Last Update Date
2016-01-13
Business Address
Dr. DAVID E BROCKETT DDS
7776 IVANHOE AVE STE 100
LA JOLLA, CA 92037-4575
Phone number: 858-454-1468
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Mailing Address
Dr. DAVID E BROCKETT DDS
7776 IVANHOE AVE STE 100
LA JOLLA, CA 92037-4575
Phone number: 858-454-1468
Copy
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