Organization
BRYANT P BIRCH DDS PC
Active
Other names
Birch Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYANT P BIRCH DDS (DENTIST AND OWNER OF PRACTICE)
(307) 871-6832
Entity
Organization
Contact information
Practice address
661 UINTA DR, GREEN RIVER, WY 82935-5056
(307) 875-3658
Mailing address
PO BOX 309, GREEN RIVER, WY 82935-0309
(307) 875-3658
(307) 875-3660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1149
WY
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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