Individual
DR. ROGER LYNN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14461 NE 23RD STREET, CHOCTAW, OK 73020-0715
(405) 390-8000
(405) 390-9933
Mailing address
PO BOX 715, CHOCTAW, OK 73020-0715
(405) 390-8000
(405) 390-9933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
OK4401-82
OK
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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