Individual provider · Type 1 NPI

Mark William Brisley, DDS

General Practice Dentistry · Laguna Beach, CA

NPI number 1356438121 Active

About NPI 1356438121

Mark William Brisley, DDS's National Provider Identifier is 1356438121, issued on Oct 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Laguna Beach, CA. The record was last updated on Jul 8, 2007.