Individual
DR. BRUCE E DRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
215 E WASHINGTON ST, FAIRMOUNT, IN 46928-1747
(765) 948-4107
(765) 948-4864
Mailing address
215 E WASHINGTON ST, FAIRMOUNT, IN 46928-1747
(765) 948-4107
(765) 948-4864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007146A
IN
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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