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Individual
DR. MARK BREESE
Active
Individual
DR. MARK BREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5652896
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60626
CA
Other
Enumeration date
01/23/2006
Last updated
01/05/2016
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