BRETT MICHAEL WONENBERG DDS - NPI 1073783163

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Brett Michael Wonenberg Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRETT MICHAEL WONENBERG DDS (NPI 1073783163) is an individual general practice provider in Fortuna, California, licensed in California (49706) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1073783163

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRETT MICHAEL WONENBERGCredential: DDS

Location Address1730 MAIN ST, SUITE AFortuna, CA 95540-2451

Mailing Address1730 Main St, Suite AFortuna, CA 95540-2451 · (707) 725-1303 · Fax (707) 725-1358

Phone(707) 725-1303

Fax(707) 725-1358

Sole ProprietorNo

Enumeration DateMarch 5, 2008

✔ NPI 1073783163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 49706

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.

1730 MAIN ST, Fortuna, CA 95540

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