Individual
DR. STEPHEN C BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
624 3RD ST S, NAMPA, ID 83651-3840
(208) 505-8586
Mailing address
624 3RD ST S, NAMPA, ID 83651-3840
(208) 505-8586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5202
ID
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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