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Organization
JEFFREY BROCKETT DDS INC
Active
Organization
JEFFREY BROCKETT DDS INC
Active
Other names
Sleep Solutions of San Diego
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY E BROCKETT DDS (PRESIDENT)
(323) 632-3361
Entity
Organization
Contact information
Practice address
1349 CAMINO DEL MAR STE E, DEL MAR, CA 92014-2553
(323) 632-3361
Mailing address
3087 CRANBROOK CT, LA JOLLA, CA 92037-2209
(323) 632-3361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/11/2022
Last updated
03/14/2022
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