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Individual

DR. BRYAN RUSSELL KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
90 VANDENBERG DR, 66 MDS (AFMC), HANSCOM AFB, MA 01731-2104
(781) 225-6789
(781) 225-2564
Mailing address
90 VANDENBERG DR, 66 MDS (AFMC), HANSCOM AFB, MA 01731-2104
(781) 225-6789
(781) 225-2564

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO2424100
NJ

Other

Enumeration date
08/13/2010
Last updated
02/02/2012
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