Individual
BRYAN DEE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
24123 BOERNE STAGE RD, SUITE #104, SAN ANTONIO, TX 78255
(210) 698-3384
Mailing address
24123 BOERNE STAGE RD, SUITE #104, SAN ANTONIO, TX 78255
(210) 698-3384
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12702
TX
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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