Individual
PATRICK LAWRENCE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3427 FORT MEADE RD, LAUREL, MD 20724-2003
(301) 776-4600
(301) 776-3649
Mailing address
14319 WICKLOW LN, LAUREL, MD 20707-6887
(301) 317-8111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11109
MD
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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