Individual
BRETT MICHAEL WONENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1730 MAIN ST, SUITE A, FORTUNA, CA 95540-2451
(707) 725-1303
(707) 725-1358
Mailing address
1730 MAIN ST, SUITE A, FORTUNA, CA 95540-2451
(707) 725-1303
(707) 725-1358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49706
CA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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