Organization
COMPREHENSIVE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY ROBERT BRYANT DDS (OWNER)
(574) 264-4161
Entity
Organization
Contact information
Practice address
3820 E BRISTOL ST, ELKHART, IN 46514
(574) 264-4161
(574) 266-8198
Mailing address
3820 E BRISTOL ST, ELKHART, IN 46514
(574) 264-4161
(574) 266-8198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009531
IN
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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