Individual
DR. SAMUEL DAVID BRYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1520 S MAIN ST, BLACKWELL, OK 74631-4921
(580) 262-8420
Mailing address
1520 S MAIN ST, BLACKWELL, OK 74631-4921
(580) 262-8420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7950
OK
Other
Enumeration date
08/29/2024
Last updated
09/06/2024
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