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Individual
DR. PAUL W BRYAN
Active
Individual
DR. PAUL W BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5783
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5059001
DSHS PROVIDER NUMBER
WA
01
—
717917
UNITED CONCORDIA & TRICAR
WA
01
—
7192
WASHINGTON DENTAL SERVICE
WA
01
—
93062
L&I PROVIDER NUMBER
WA
Enumeration date
06/08/2006
Last updated
03/07/2023
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