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BRIAN LLOYD CARKEET DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1962504282
Individual Registrant: BRIAN LLOYD CARKEET DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
645 WEST LINE STREET BISHOP, CA 93514 US
Tel: 760-873-3227 Fax: --
Tel: 760-873-3227 Fax: --
Contact information for business:
PO BOX 8253 MAMMOTH LAKES, CA 93546 US
Tel: 760-914-1779 Fax: --
Tel: 760-914-1779 Fax: --
Registration Information:
NPI: 1962504282
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 44574 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
