Individual
DR. BRETT BOCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9234 TX-1604, 121 & 123, SAN ANTONIO, TX 78249
(210) 681-1121
Mailing address
9234 TX-1604, 121 & 123, SAN ANTONIO, TX 78249
(210) 681-1121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031183
IL
1223G0001X
General Practice Dentistry
Primary
33876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750802641
NPI
TX
01
—
33876
DENTAL LICENSE
TX
Enumeration date
06/29/2017
Last updated
08/13/2018
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