Individual
JENNIFER BREHOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
2226 OTAY LAKES RD STE AANDB, CHULA VISTA, CA 91915-1010
(619) 336-8478
Mailing address
1578 CALLE LAS MORAS, VISTA, CA 92084-4165
(760) 420-2441
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D11535
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS105550
CA
Other
Enumeration date
04/29/2019
Last updated
11/30/2023
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