BRANDON KIAN GINO MAROON

CHULA VISTA, CA
NPI1578211801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  107362)
Enumeration Date2022-03-15
Last Update Date2022-03-15
Business Address
BRANDON KIAN GINO MAROON DDS
310 3RD AVE STE C1B
CHULA VISTA, CA 91910-3954
Phone number: 619-476-1600
Mailing Address
BRANDON KIAN GINO MAROON DDS
PO BOX 3104
RANCHO SANTA FE, CA 92067-3104
Phone number: 858-386-6363