Individual
JOHN BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
3771 W 242ND ST STE 102, TORRANCE, CA 90505-6566
(310) 373-7773
(310) 373-7771
Mailing address
3771 W 242ND ST STE 102, TORRANCE, CA 90505-6566
(310) 373-7773
(310) 373-7771
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104747
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
175649
CA
Other
Enumeration date
04/22/2015
Last updated
01/26/2022
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