Individual
DR. BRYAN M VIBETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2615 ELK DR, STE 2, MINOT, ND 58701-0001
(701) 839-6010
Mailing address
2615 ELK DR STE 2, MINOT, ND 58701-1200
(701) 839-6010
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11516
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1979
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41460
—
ND
Enumeration date
02/14/2006
Last updated
07/16/2008
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