Basic Information
| Provider Information | |||||||||
| NPI: | 1073604237 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRIAN | ||||||||
| FirstName: | KARIN | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 GREENHILL RD | ||||||||
| Address2: | |||||||||
| City: | COATESVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193201414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103831014 | ||||||||
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| Practice Location | |||||||||
| Address1: | 797 E LANCASTER AVE | ||||||||
| Address2: | SUITE 8 | ||||||||
| City: | DOWNINGTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193353315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102695795 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | DS-027687-L | PA | Y | Dental Providers | Dentist | General Practice |
No ID Information.