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Individual

DR. BRANDON SOELBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
761 GARDEN VIEW CT STE 103, ENCINITAS, CA 92024-2400
(760) 436-7660
Mailing address
12421 PITTSBURGH AVE, OKLAHOMA CITY, OK 73120-6000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
RES1324
OK
208600000X
Surgery Physician
RES1324
OK

Other

Enumeration date
07/01/2016
Last updated
05/28/2020
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