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Organization

DR CARLA BRYAN DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA PETERSON BRYAN DDS (OWNER)
(949) 487-6780
Entity
Organization

Contact information

Practice address
657 CAMINO DE LOS MARES STE 138, SAN CLEMENTE, CA 92673-2810
(949) 487-6780
(949) 487-6781
Mailing address
657 CAMINO DE LOS MARES STE 138, SAN CLEMENTE, CA 92673-2810
(949) 487-6780
(949) 487-6781

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DV25362
CA

Other

Enumeration date
02/26/2013
Last updated
02/26/2013
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