Individual
DR. BRYAN NELSON HOUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4400 E HIGHWAY 20, STE 111, NICEVILLE, FL 32578-8779
(850) 897-4171
Mailing address
1327 WINDWARD CIR, NICEVILLE, FL 32578-4310
(850) 897-7588
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15422
FL
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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