Individual
DR. JENNA TENNISWOOD BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
208 NE 3RD ST, OKEECHOBEE, FL 34972-2947
(863) 763-3909
Mailing address
208 NE 3RD ST, OKEECHOBEE, FL 34972-2947
(863) 763-3909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22723
FL
Other
Enumeration date
06/27/2017
Last updated
09/01/2017
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