Individual
DR. CHARLES LLOYD BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4417 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2401
(405) 789-5566
Mailing address
4417 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-2401
(405) 789-5566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3144
OK
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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