Individual
DR. TIMOTHY DEAN BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
910 E GRAND AVE STE E, ESCONDIDO, CA 92025-3430
(760) 746-3450
Mailing address
910 E. GRAND AVE. SUITE E, ESCONDIDO, CA 90202
(760) 746-3450
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54532
CA
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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