Individual
MICHAEL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7147 SECURITY BLVD STE 100, WINDSOR MILL, MD 21244-1811
(443) 200-2915
(443) 200-3827
Mailing address
7147 SECURITY BLVD STE 100, WINDSOR MILL, MD 21244-1811
(443) 200-2915
(443) 200-3827
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134329121
—
MD
Enumeration date
01/09/2007
Last updated
11/02/2023
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