Individual
BRYAN LEWIS CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6821 N COUNTRY HOMES BLVD, SUITE 202A, SPOKANE, WA 99208-4372
(509) 325-2188
(509) 327-8562
Mailing address
6821 N COUNTRY HOMES BLVD, SUITE 202A, SPOKANE, WA 99208-4372
(509) 325-2188
(509) 327-8562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE7492
WA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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