Individual
BRAXTON ROBERT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 S LAS POSAS RD STE 162, SAN MARCOS, CA 92078-2419
(812) 430-1867
Mailing address
719 CALIFORNIA OAK DR, VISTA, CA 92081-7555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105351
CA
Other
Enumeration date
03/31/2019
Last updated
08/27/2020
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