Brooks Burnsed, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Nipomo, CA
- NPI
- 1669553665
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 32522 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-17
- Last updated
- 2007-07-08
Practice location
255 North Wilson Ave, Suite D
Nipomo, CA 93444
(805) 929-3219