Jeffrey Brockett DDS INC
Dentist in Del Mar, CA. Organization (NPI-2).
NPI number1497403232
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1497403232
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffrey Brockett DDS INC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2022
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | – | – | |
| 261QD0000X | Clinic/Center, Dental | – | – | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – |
Other names
- Sleep Solutions Of San Diego (Doing Business As)
Practice location
1349 Camino Del Mar Ste EDel Mar, CA 92014-2553
Phone 323-632-3361
Mailing address
3087 Cranbrook CtLa Jolla, CA 92037-2209
Phone 323-632-3361
Authorized official
Jeffrey E Brockett
President
3236323361
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