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Dr. Brenna Eileen Coolbaugh, DMD
General Practice Dentistry in Norwalk, California
NPI 1811450943

Brenna Eileen Coolbaugh is a General Practice Dentistry based in Irvine, CA and is specialized in General Practice. Brenna Eileen Coolbaugh practices in Norwalk, CA and has the professional credentials of DMD. The NPI Number for Brenna Eileen Coolbaugh is 1811450943 and holds a License No. DS042581 (California).

The current practice location address for Brenna Eileen Coolbaugh is 12501 Norwalk Blvd, Norwalk, CA and can be reached out via phone at 562-929-0880.

Location: 12501 Norwalk Blvd, Norwalk, CA, 92620-0257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811450943
Provider Name
Brenna Eileen Coolbaugh
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
12501 Norwalk Blvd, Norwalk, CA, 92620-0257
Phone Number
562-929-0880
Fax Number
Provider Enumeration Date
04/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12501 Norwalk Blvd
City
Norwalk
State
California
Zip
90650-2042
Phone Number
562-929-0880
Fax Number
person
Provider Business Mailing Address Details
Address
12501 Norwalk Blvd
City
Norwalk
State
California
Zip
90650-2042
Phone Number
562-929-0880
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DS042581 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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