Organization
JULIANNA KATHERINE BRUNDAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIANNA KATHERINE BRUNDAGE (RDHAP)
(858) 335-1992
Entity
Organization
Contact information
Practice address
8104 COMMERCIAL ST, LA MESA, CA 91942-2926
(858) 335-1992
Mailing address
PO BOX 1294, LA MESA, CA 91944-1294
(858) 335-1992
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 591
CA
Other
Enumeration date
08/31/2015
Last updated
09/01/2015
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