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Provider Information for 1992853212

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. BRAD W. HUNT DDS

Gender: MALE

Individual NPI: 1992853212

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1992853212
Enumeration Date 2007-01-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4765 CARMEL MOUNTAIN RD SUITE 204
SAN DIEGO, CA 92130-6657
United States

Phone: 858-259-1168 | Fax: 858-259-1767
View Map External Link
Primary Practice Address 4765 CARMEL MOUNTAIN RD SUITE 204
SAN DIEGO, CA 92130-6657
United States

Phone: 858-259-1168 | Fax: 858-259-1767
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0300X - Dentist Periodontics CA 34975