Individual
SIDNEY R BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 N EARLE ST, WALHALLA, SC 29691-2419
(864) 638-5851
Mailing address
107 N EARLE ST, WALHALLA, SC 29691-2419
(864) 638-5851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1876
SC
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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