Individual
BERNARD B DREIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1612 N BALDWIN AVE, MARION, IN 46952-1872
(765) 662-2068
(765) 662-3210
Mailing address
1612 N BALDWIN AVE, MARION, IN 46952-1872
(765) 662-2068
(765) 662-3210
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1223S0112X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084054
BLUE CROSS BLUE SHIELD
IN
Enumeration date
08/30/2006
Last updated
07/08/2007
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