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Individual

BRYCE STEWART PUTNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
762 14TH ST, ELKO, NV 89801-3413
(775) 772-0343
Mailing address
762 14TH ST, ELKO, NV 89801-3413
(775) 772-0343

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6134
NV

Other

Enumeration date
04/10/2011
Last updated
09/26/2012
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