Individual
DR. BRACK LEE LINSCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5942 W MALL, ATASCADERO, CA 93422
(805) 466-0627
(805) 466-9911
Mailing address
5942 W MALL, ATASCADERO, CA 93422
(805) 466-0627
(805) 466-9911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D28030
—
CA
Enumeration date
09/11/2006
Last updated
07/08/2007
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