Individual provider · Type 1 NPI

Brian Benasa Bardeloza, DDS

General Practice Dentistry · Vancouver, WA

NPI number 1477076727 Active

Practice location

605 SE 164th Ave Ste 103
Vancouver, WA 98684

Mailing address

14201 NE 20th Ave Ste B200
Vancouver, WA 98686-6412

Other practice locations

  • 605 SE 164th Ave Ste 103, Vancouver, WA 98684 · (360) 882-0222

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD10817 (OR)
General Practice Dentistry Primary 1223G0001XDE60876885 (WA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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About NPI 1477076727

Brian Benasa Bardeloza, DDS's National Provider Identifier is 1477076727, issued on Jul 19, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vancouver, WA. The record was last updated on Sep 14, 2018.