Individual
GARY BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2038 NC 345 HIGHWAY SOUT, WANCHESE, NC 27981
(252) 473-5774
(252) 473-3871
Mailing address
PO BOX 2059, MANTEO, NC 27954-2059
(252) 473-5774
(252) 473-3871
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5269
NC
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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