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Organization

GARY G BRYAN DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY GORDON BRYAN DMD PA (DENTIST)
(252) 473-5774
Entity
Organization

Contact information

Practice address
2038 NC 345 HIGHWAY SOUTH, WANCHESE, NC 27981
(252) 473-5774
Mailing address
PO BOX 2059, MONTEO, NC 27954
(252) 473-5774
(252) 473-3871

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5269
NC

Other

Enumeration date
03/23/2007
Last updated
03/25/2013
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