Individual
DR. MICHELLE LEIVETTE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
ATLANTIC ORAL SURGERY AND DENTAL IMPLANT CENTER, 21GILBERT ST. NORTH, TINTON FALLS, NJ 07701
(732) 747-0993
(732) 412-9317
Mailing address
3450 WAYNE AVE, APT. 26G, BRONX, NY 10467-2510
(646) 369-7363
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02334100
NJ
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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