Provider Demographics
NPI:1720311897
Name:DYNAMICBRACINGSOLUTIONS, INC.
Entity Type:Organization
Organization Name:DYNAMICBRACINGSOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARMADUKE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-972-3853
Mailing Address - Street 1:PO BOX 235267
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92023-5267
Mailing Address - Country:US
Mailing Address - Phone:619-972-3853
Mailing Address - Fax:760-798-0377
Practice Address - Street 1:4373 VIEWRIDGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1619
Practice Address - Country:US
Practice Address - Phone:619-972-3853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier