Individual
COLEMAN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14425 W MCDOWELL RD, SUITE F-102, GOODYEAR, AZ 85395-2516
(623) 536-0079
Mailing address
3372 W BARCELONA DR, CHANDLER, AZ 85226-1465
(614) 226-3438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.023636
OH
122300000X
Dentist
Primary
D009203
AZ
122300000X
Dentist
DEN4307
ME
Other
Enumeration date
02/24/2012
Last updated
05/18/2015
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