Organization
BRANNON & BRANNON A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE ALAN BRANNON DDS (PRESIDENT)
(858) 485-6600
Entity
Organization
Contact information
Practice address
15525 POMERADO ROAD, SUITE C6, POWAY, CA 92064-2426
(858) 485-6600
(858) 673-5546
Mailing address
15525 POMERADO ROAD, SUITE C6, POWAY, CA 92064-2426
(858) 485-6600
(858) 673-5546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22048
CA
Other
Enumeration date
04/06/2006
Last updated
08/22/2020
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