NPI 1215591839 · live from the CMS NPI Registry
Jennifer Brehove, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Chula Vista, CA. National Provider Identifier 1215591839, active.
NPI record
| NPI | 1215591839 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2226 Otay Lakes Rd Ste Aandb, Chula Vista, CA 91915 |
| Practice phone | 619-336-8478 |
| Mailing address | 1578 Calle Las Moras, Vista, CA 92084 |
| Enumerated | April 29, 2019 |
| Last updated | November 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | D11535 (OR) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DDS105550 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.