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Bryce D Nebeker DDS A Dental Corporation

Clinic/Center, Dental in Brea, CA. Organization (NPI-2).

NPI number1669979142
StatusActive
Last updated in NPPESApr 10, 2018

Details

NPI
1669979142
Entity type
Organization (NPI-2)
Legal business name
Bryce D Nebeker DDS A Dental Corporation
Organization subpart
No
Enumeration date
Apr 10, 2018
Last updated
Apr 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental59545CAYes

Practice location

1220 E Birch St Ste 101
Brea, CA 92821-5155

Phone 714-529-5921 · Fax 714-529-9609

Mailing address

1220 E Birch St Ste 101
Brea, CA 92821-5155

Phone 714-529-5921 · Fax 714-529-9609

Authorized official

Bryce D Nebeker
Owner
7145295921

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