Brisley, Mark William
Brisley, Mark William is an sole proprietor health care provider with primary practice located at 618 Glenneyre St. , Laguna Beach CA 92651. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brisley, Mark William can be contacted via phone (949) 497-2342.Contact Information
Primary practice address
618 Glenneyre St.
Laguna Beach CA 92651
Phone: (949) 497-2342
Fax: (949) 376-5740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 034307 | California |
Profile Details
| NPI number | 1356438121 |
|---|---|
| LBN Legal business name | Brisley, Mark William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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