Organization
JEFFREY BRUMBAUGH, DDS, MS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BRUMBAUGH DDS, MS (PRESIDENT)
(626) 536-6650
Entity
Organization
Contact information
Practice address
12121 WILSHIRE BLVD STE 1111, LOS ANGELES, CA 90025-1188
(626) 536-6650
Mailing address
907 WESTWOOD BLVD # 362, LOS ANGELES, CA 90024-2904
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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