Provider Demographics
NPI:1346686706
Name:BARES, WILLIAM RAY (BS BIOLOGY, DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RAY
Last Name:BARES
Suffix:
Gender:M
Credentials:BS BIOLOGY, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4106
Mailing Address - Country:US
Mailing Address - Phone:650-823-1450
Mailing Address - Fax:650-941-8104
Practice Address - Street 1:1071 LAURELES DR
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1011
Practice Address - Country:US
Practice Address - Phone:650-823-1450
Practice Address - Fax:650-941-8104
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30756122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist