Individual
DR. BRYAN REED MEDARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4411 E FLAMINGO AVE, NAMPA, ID 83687-3113
(208) 466-3597
(208) 466-8147
Mailing address
12231 W CARIBEE INLET DR, STAR, ID 83669-5653
(208) 286-0470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3814
ID
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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