Individual
DR. BRYAN IVAN BARIENTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
79 WHARF RD, BOLINAS, CA 94924
(415) 868-0168
(415) 868-1304
Mailing address
PO BOX 837, BOLINAS, CA 94924-0837
(415) 868-0168
(415) 868-1304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36886
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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