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Individual

BRYAN SUYDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-1234
(412) 741-1585
Mailing address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-1234
(412) 741-1585

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS039902
PA
1223G0001X
General Practice Dentistry
Primary
DS039902
PA
1223G0001X
General Practice Dentistry
DT-2368
HI

Other

Enumeration date
05/12/2008
Last updated
11/15/2021
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