Organization
BRIAN L DANIELSSON DDS PC
Active
Other names
Ridgecrest Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L DANIELSSON DDS (CEO/DENTIST)
(760) 371-4800
Entity
Organization
Contact information
Practice address
700A N SANDERS ST, RIDGECREST, CA 93555-3528
(760) 371-4800
(760) 371-4825
Mailing address
700A N SANDERS ST, RIDGECREST, CA 93555-3528
(760) 371-4800
(760) 371-4825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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