Individual
MR. BRYCE D. DETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2025 ABERDEEN COURT, SYCAMORE, IL 60178
(815) 758-3666
(815) 758-3626
Mailing address
2025 ABERDEEN COURT, SYCAMORE, IL 60178
(815) 758-3666
(815) 758-3626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018584
IL
1223G0001X
General Practice Dentistry
8079
AZ
Other
Enumeration date
04/26/2007
Last updated
09/20/2011
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