Individual
BRYAN EDWARD SCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2176 MACLAND RD, DALLAS, GA 30157-5134
(704) 451-0817
Mailing address
2176 MACLAND RD, DALLAS, GA 30157-5134
(704) 451-0817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123044
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2022
Last updated
07/28/2023
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