Individual
DR. BRYAN CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2405 FM 423 STE 100, LITTLE ELM, TX 75068-6666
(214) 705-1292
Mailing address
15045 BADGER LN, FONTANA, CA 92336-5312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8327
AZ
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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