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Individual

BRYAN RADER DRYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2344 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
(208) 246-2400
Mailing address
2344 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
(208) 246-2400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3332
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6B836
BLUE CROSS OF IDAHO
ID
Enumeration date
08/18/2006
Last updated
02/10/2020
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