# DR. PAUL W BRYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831139427
- **Gender:** Man
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5783 | WA | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 03/07/2023

## 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 |