Brazeal, George W
Brazeal, George W is an sole proprietor health care provider with primary practice located at 2345 E Coast Hwy Suite B, Corona Del Mar CA 92625-2034. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brazeal, George W can be contacted via phone (949) 673-6443.Contact Information
Primary practice address
2345 E Coast Hwy Suite B
Corona Del Mar CA 92625-2034
Phone: (949) 673-6443
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 26591 | California |
Profile Details
| NPI number | 1003807199 |
|---|---|
| LBN Legal business name | Brazeal, George W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2005 |
| Last updated | Aug 7th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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