Organization
REMODEL COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOEL BRAUNSTEIN (DENTIST)
(760) 918-0798
Entity
Organization
Contact information
Practice address
6221 METROPOLITAN ST, SUITE 102, CARLSBAD, CA 92009-3096
(760) 918-0798
(760) 929-9231
Mailing address
6221 METROPOLITAN ST, SUITE 102, CARLSBAD, CA 92009-3096
(760) 918-0798
(760) 929-9231
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
26345
CA
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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