Individual
MR. BRIAN TOMS WYCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3701 EASTERN AVE, BALTIMORE, MD 21224-4208
(410) 327-7639
(410) 342-8093
Mailing address
1109 S CURLEY ST, BALTIMORE, MD 21224-4810
(443) 801-2144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13345
MD
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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