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Individual

DR. BRYAN WAYNE HARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6 ROAD 7586, BLOOMFIELD, NM 87413-4934
(505) 632-1801
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 632-1801

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010742
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5052030
WA
Enumeration date
08/22/2006
Last updated
10/17/2008
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