Individual
BRYAN SENDELBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3800 SOUTHPARK DR, TYLER, TX 75703-1713
(903) 581-8882
Mailing address
3800 SOUTHPARK DR, TYLER, TX 75703-1713
(903) 581-8882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32322
TX
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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