DR. Brian Gene Briesemeister JR., D.D.S.

NPI #1205202256 in Suffolk, Virginia

Provider Information

NPI Number: 1205202256
Entity Type: Individual
Name: DR. Brian Gene Briesemeister JR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 13, 2015
Last Updated: Nov 17, 2021

Practice Location

Address: 1301 BRIDGEPORT WAY STE 109
City: Suffolk
State: Virginia
ZIP Code: 23435-1960
Phone: (757) 484-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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