Individual
DR. WALTER ROBERT BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1173 SPRING CENTRE SOUTH BLVD, SUITE A, ALTAMONTE SPRINGS, FL 32714-1976
(407) 628-9523
Mailing address
1173 SPRING CENTRE SOUTH BLVD, SUITE A, ALTAMONTE SPRINGS, FL 32714-1976
(407) 628-9523
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN8121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070427000
—
FL
Enumeration date
05/22/2007
Last updated
07/08/2007
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