Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY L BRESLAUER, DDS
ActiveDR. GARY L BRESLAUER, DDS is a Dental Assistant healthcare provider located in INDIANAPOLIS, Idaho. NPI 1366553570 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · INDIANAPOLIS, ID
Registration Details
- NPI Number
- 1366553570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.765349140216 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12007547A
Practice Information
- Address
-
6117 N COLLEGE AVEINDIANAPOLIS, ID, 46220Browse ID providers · Browse ZIP 46220
- Phone
- 3172573368
- Fax
- 3172575909
- Primary Specialty
-
Dental Assistant
126800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.