Organization
BRANDON AU DDS INC
Active
Other names
NEW VISION DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA AU (OPERATIONS MANAGER)
(626) 963-7000
Entity
Organization
Contact information
Practice address
1814 E ROUTE 66 STE B, GLENDORA, CA 91740-7001
(626) 963-7000
(626) 963-7001
Mailing address
1814 E ROUTE 66 STE B, GLENDORA, CA 91740-7001
(626) 963-7000
(626) 963-7001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46237
CA
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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