Individual
DR. BRYAN MARK RECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2112 VIKING DR NW, ROCHESTER, MN 55901-3522
(507) 208-9124
(507) 218-0326
Mailing address
2112 VIKING DR NW, ROCHESTER, MN 55901-3522
(507) 208-9124
(507) 218-0326
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
08416
IA
1223P0300X
Periodontics
Primary
D12733
MN
Other
Enumeration date
05/30/2007
Last updated
06/24/2015
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