Individual
DR. MARK BREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1289 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(760) 730-9333
(760) 434-6016
Mailing address
1289 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(760) 730-9333
(760) 434-6016
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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