Individual
DR. BRIAN JAY DAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21321 E OCOTILLO RD STE 106, QUEEN CREEK, AZ 85242-5993
(480) 882-3330
Mailing address
21321 E OCOTILLO RD STE 106, QUEEN CREEK, AZ 85242-5993
(480) 882-3330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7185
AZ
1223G0001X
General Practice Dentistry
DS030474R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346978
BLUE SHIELD PROVIDER ID
PA
Enumeration date
01/16/2007
Last updated
01/30/2009
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