Individual
DANIEL BRYSTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E BIG BEAVER RD STE D, TROY, MI 48083-1432
(248) 528-2270
Mailing address
23015 BELLWOOD DR, SOUTHFIELD, MI 48034-2036
(248) 219-7231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600190
MI
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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