Individual
MR. BRIAN N BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
255 N WILSON ST, SUITE A, NIPOMO, CA 93444-0858
(805) 929-3277
(805) 929-1106
Mailing address
PO BOX 858, NIPOMO, CA 93444-0858
(805) 929-3277
(805) 929-1106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31204
CA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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