Individual
DR. BRYAN ROBERT MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5108 N CLINTON ST, FORT WAYNE, IN 46825-5720
(260) 482-1551
Mailing address
6931 E 150 N, COLUMBIA CITY, IN 46725-9080
(260) 704-3712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011685A
IN
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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