George R Braithwaite
George R Braithwaite is a General Practice Dentistry in Vista, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
630 Alta Vista Dr #108Vista, CA 92084-5504
Phone: (760) 724-6537
Fax: (760) 724-5115
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 24937 (CA) |
|---|
Record details
| NPI number | 1508053323 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Braithwaite — Dentist/President · (760) 724-6537 |
| Other names | Family Dental |
| NPI enumerated | September 25, 2007 |
| Last updated in NPPES | July 27, 2011 |
| Mailing address | 630 Alta Vista Dr, 108, Vista, CA 92084-5504 |
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