WILLIAM REVIE, KENNETH BRITTON

SAN DIEGO, CA
NPI1679766554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  56035)
Enumeration Date2007-08-23
Last Update Date2014-07-03
Business Address
-- WILLIAM REVIE, KENNETH BRITTON
9292 MIRA MESA BLVD
SAN DIEGO, CA 92126-4806
Phone number: 858-566-4200
Mailing Address
-- WILLIAM REVIE, KENNETH BRITTON
6148 PASEO GRANITO
CARLSBAD, CA 92009-2274
Phone number: 562-832-2489