ALONSO BREACH

LAVEEN, AZ
NPI1710871033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ZZ  10929112)
Enumeration Date2025-06-03
Last Update Date2025-06-03
Business Address
ALONSO BREACH
2906 W SOUTH MOUNTAIN RD
LAVEEN, AZ 85339-7804
Phone number: 619-831-0437
Mailing Address
ALONSO BREACH
3554 SUNSET LN UNIT 32
SAN YSIDRO, CA 92173-4506
Phone number: 619-831-0437
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