Breese, Mark
Breese, Mark is an sole proprietor health care provider with primary practice located at 1289 Carlsbad Village Dr , Carlsbad CA 92008-1950. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Breese, Mark can be contacted via phone (760) 730-9333.Contact Information
Primary practice address
1289 Carlsbad Village Dr
Carlsbad CA 92008-1950
Phone: (760) 730-9333
Fax: (760) 434-6016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 5652896 | Utah |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 60626 | California |
Profile Details
NPI number | 1518947704 |
---|---|
LBN Legal business name | Breese, Mark |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 23rd, 2006 |
Last updated | Jan 5th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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