Individual
DR. BRIAN ANDREW GARRIQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4214 28TH ST, APARTMENT #8, MOUNT RAINIER, MD 20712-1709
(516) 650-5668
Mailing address
4214 28TH ST, APARTMENT #8, MOUNT RAINIER, MD 20712-1709
(516) 650-5668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1001316
DC
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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