Organization
BRIAN MUDD DDS PDC
Active
Other names
Dental Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D MUDD DDS (ADMIN)
(760) 727-5613
Entity
Organization
Contact information
Practice address
3211 BUSINESS PARK DR, SUITE A, VISTA, CA 92081-8529
(760) 727-5613
(760) 727-4225
Mailing address
1477 SAN PABLO DR, SAN MARCOS, CA 92078-4701
(760) 727-5613
(760) 727-4225
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
87
CA
Other
Enumeration date
12/13/2011
Last updated
10/12/2012
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