Individual
BRYANT BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 W MAIN ST, DELPHI, IN 46923-1432
(765) 564-3740
Mailing address
204 W MAIN ST, DELPHI, IN 46923-1432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012296A
IN
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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