Individual
BRIAN J. SERRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
850 LAKELAND DRIVE, CHIPPEWA FALLS, WI 54729-1687
(715) 738-2000
Mailing address
1000 N OAK AVENUE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6227
WI
122300000X
Dentist
6227-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33827600
—
WI
01
—
6227
LICENSE
WI
Enumeration date
08/08/2008
Last updated
09/01/2011
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