Individual
DR. KIERIAN BRIAN KUKLOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
9912 CARMEL MOUNTAIN RD STE A, SAN DIEGO, CA 92129-2808
(858) 484-6418
(858) 484-6318
Mailing address
9912 CARMEL MOUNTAIN RD STE A, SAN DIEGO, CA 92129-2808
(858) 484-6418
(858) 484-6318
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS29
CA
174400000X
Specialist
Primary
A68737
CA
Other
Enumeration date
07/10/2006
Last updated
09/11/2025
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