Individual
ISSA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28795
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/13/2023
Last updated
07/02/2024
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