JEFFREY EASTMAN BROCKETT

LA JOLLA, CA
NPI1821358474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  61401)
Enumeration Date2012-05-16
Last Update Date2016-01-13
Business Address
Dr. JEFFREY EASTMAN BROCKETT DDS
7776 IVANHOE AVE STE 100
LA JOLLA, CA 92037-4575
Phone number: 858-454-1468
Mailing Address
Dr. JEFFREY EASTMAN BROCKETT DDS
6755 MONTERRA TRL
SAN DIEGO, CA 92130-1343
Phone number: 323-632-3361
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