Individual provider · NPI-1

Dr. William Patrick Brake Jr., D.D.S.

Dentist, General Practice · Westminster, CA

NPI number1245387406
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1245387406
Entity type
Individual (NPI-1)
Name
Dr. William Patrick Brake Jr.
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 3, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice032439CAYes

Practice location

15370 Goldenwest St
Westminster, CA 92683-6150

Phone 714-892-3353 · Fax 714-894-2394

Mailing address

5112 Cumberland Ave
Westminster, CA 92683-1718

Phone 714-898-9016 · Fax 714-894-2394

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