Individual
DALE BRYAN COUNTRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 COIT RD STE 500, PLANO, TX 75075-5731
(972) 231-2576
Mailing address
340 COIT RD STE 500, PLANO, TX 75075-5731
(972) 231-2576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27989
TX
Other
Enumeration date
07/27/2012
Last updated
03/23/2022
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