Organization
LARRY W. BRYANT DDS, PC
Active
Other names
Larry W. Bryant DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WINFRED BRYANT DDS (OWNER)
(301) 249-0553
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 236-240, GLENN DALE, MD 20769-9182
(301) 249-0553
(301) 249-0555
Mailing address
12200 ANNAPOLIS RD, SUITE 236-240, GLENN DALE, MD 20769-9182
(301) 249-0553
(301) 249-0555
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07738
MD
Other
Enumeration date
11/18/2011
Last updated
04/14/2016
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