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Individual

DR. DAVID WAYNE BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
128 MARKET ST, ALAMOSA DENTAL CLINIC, ALAMOSA, CO 81101
(719) 589-9691
Mailing address
128 MARKET ST, ALAMOSA DENTAL CLINIC, ALAMOSA, CO 81101
(719) 589-9691

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-10632
CO

Other

Enumeration date
06/05/2012
Last updated
06/05/2012
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