Individual
DR. KURTIS BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1301 N HOWE ST, SOUTHPORT, NC 28461-2604
(910) 457-5061
Mailing address
1460 OAKCREST DR APT 2216, COLUMBIA, SC 29223-1747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10769
NC
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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