Individual
JIMMY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 W CHARLESTON BLVD BLDG A, LAS VEGAS, NV 89102-2335
(702) 774-2400
Mailing address
2695 DULCINEA DR, HENDERSON, NV 89014-4065
(702) 499-5343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0646
NV
Other
Enumeration date
07/07/2006
Last updated
09/06/2019
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