Individual
DR. CARLA PETERSON BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
657 CAMINO DE LAS MARES, SUITE 138, SAN CLEMENTE, CA 92673
(949) 487-6780
(949) 487-6781
Mailing address
657 CAMINO DE LAS MARES, SUITE 138, SAN CLEMENTE, CA 92673
(949) 487-6780
(949) 487-6781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DV35362
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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