Individual
DR. BRIAN DEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
315 WALNUT AVE, SAN DIEGO, CA 92103-4904
(619) 297-2954
Mailing address
315 WALNUT AVE, SAN DIEGO, CA 92103-4904
(619) 297-2954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58764
CA
Other
Enumeration date
10/28/2010
Last updated
04/18/2012
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