Provider Demographics
NPI:1750268355
Name:BRUMAND, KIANA (DDS)
Entity type:Individual
Prefix:
First Name:KIANA
Middle Name:
Last Name:BRUMAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14095 MUREL TRL
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-3109
Mailing Address - Country:US
Mailing Address - Phone:858-922-1923
Mailing Address - Fax:
Practice Address - Street 1:4585 COLLEGE AVE STE B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4029
Practice Address - Country:US
Practice Address - Phone:619-398-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS111927122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist