Individual
DR. BRIAN C. FRYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS.,M.S.D.
Contact information
Practice address
1700 A ST, LA PORTE, IN 46350-5925
(219) 362-5500
Mailing address
1700 A ST, LA PORTE, IN 46350-5925
(219) 362-5500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1200-8697A
IN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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