Individual
DR. BRYANT PAUL BIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
661 UINTA DR, GREEN RIVER, WY 82935
(307) 875-6358
Mailing address
2280 ALEXANDRA CIR, GREEN RIVER, WY 82935-7111
(307) 875-6833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1149
WY
Other
Enumeration date
05/21/2008
Last updated
11/24/2015
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