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Organization
RON BRUNICK DDS,INC.
Active
Organization
RON BRUNICK DDS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON BRUNICK (OWNER)
(805) 544-1941
Entity
Organization
Contact information
Practice address
956 WALNUT ST, SUITE 300, SAN LUIS OBISPO, CA 93401-1707
(805) 544-1941
(805) 544-4727
Mailing address
956 WALNUT ST, SUITE 300, SAN LUIS OBISPO, CA 93401-1707
(805) 544-1941
(805) 544-4727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26302
CA
1223G0001X
General Practice Dentistry
49202
CA
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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