Individual
DR. BRYAN MICHAEL SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2910 S MERIDIAN STE 120, PUYALLUP, WA 98373
(253) 445-0022
(253) 445-0979
Mailing address
2910 S MERIDIAN STE 120, PUYALLUP, WA 98373-1585
(253) 445-0022
(253) 445-0979
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
62966
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE.60850784
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DRP1676
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2013
Last updated
07/31/2018
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