Individual
BERNARD KIRSCH BERIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3154
Mailing address
PO BOX 3173, LAKE HAVASU CITY, AZ 86405-3173
(928) 727-2729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56405
CA
Other
Enumeration date
01/05/2007
Last updated
07/20/2010
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