Healthcare Provider Details
I. General information
NPI: 1508508169
Provider Name (Legal Business Name): WILLIAM RK BRITTON, JR., DDS APC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2022
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
143 LIVERPOOL DR
CARDIFF CA
92007-1823
US
IV. Provider business mailing address
143 LIVERPOOL DR
CARDIFF CA
92007-1823
US
V. Phone/Fax
- Phone: 760-753-2300
- Fax: 760-753-2328
- Phone: 760-753-2300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
RK
BRITTON, JR.
Title or Position: OWNER
Credential: DDS
Phone: 562-832-2489