Individual
DR. BRYAN NACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
609 HARPER AVE, JENKINTOWN, PA 19046-3206
(267) 736-6400
Mailing address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN22167
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS042504
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2016
Last updated
12/01/2022
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