Individual
DR. BRYAN TIMOTHY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12009 CORTEZ BLVD, BROOKSVILLE, FL 34613-7372
(352) 596-8988
(352) 597-4427
Mailing address
6152 NEW OSPREY PT, WEEKI WACHEE, FL 34607-4017
(352) 596-8988
(352) 597-4427
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11844
FL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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