Individual
DR. MARIA WYCHE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
150 CLINIC DR, KINGSPORT, TN 37663-2254
(423) 239-2777
(423) 239-2770
Mailing address
150 CLINIC DR, KINGSPORT, TN 37663-2254
(423) 239-2777
(423) 239-2770
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS005114
TN
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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