Provider Demographics
NPI:1376502344
Name:BRAUN, PAUL DAVID (DDS)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DAVID
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2401 W CHAPMAN AVE
Mailing Address - Street 2:#101
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2336
Mailing Address - Country:US
Mailing Address - Phone:714-939-7505
Mailing Address - Fax:714-939-6552
Practice Address - Street 1:2401 W CHAPMAN AVE
Practice Address - Street 2:#101
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2336
Practice Address - Country:US
Practice Address - Phone:714-939-7505
Practice Address - Fax:714-939-6552
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAD240801223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery