Brian N Beres, DDS Valid NPI

Individual provider · Dentist · Nipomo, CA

NPI

1982763579

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

31204 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-12-08

Last updated

2007-07-08