Individual
DR. BRYAN K TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Mailing address
2227 KEMP RD, BEAVERCREEK, OH 45431-3359
(937) 723-0196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025286
OH
1223G0001X
General Practice Dentistry
5063
LA
Other
Enumeration date
09/09/2005
Last updated
05/13/2020
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