MARK WILLIAM BRISLEY

LAGUNA BEACH, CA
NPI1356438121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  034307)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Dr. MARK WILLIAM BRISLEY dds
618 GLENNEYRE ST.
LAGUNA BEACH, CA 92651
Phone number: 949-497-2342
Mailing Address
Dr. MARK WILLIAM BRISLEY dds
618 GLENNEYRE ST.
LAGUNA BEACH, CA 92651
Phone number: 949-497-2342