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Individual

DR. BRIAN GARY CHRZAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., PH.D

Contact information

Practice address
2167 NORTHLAKE PKWY, SUITE 102, TUCKER, GA 30084-4103
(770) 939-1280
(770) 939-1284
Mailing address
2167 NORTHLAKE PKWY, SUITE 102, TUCKER, GA 30084-4103
(770) 939-1280
(770) 939-1284

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
048549
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4682
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014039
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-158C
NV

Other

Enumeration date
04/16/2007
Last updated
09/25/2010
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