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Individual
DR. BRYAN P WHEELER
Active
Individual
DR. BRYAN P WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416021
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0438000388
VA
Other
Enumeration date
04/09/2014
Last updated
01/29/2024
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