Individual
DR. TERRY ROBERT BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3820 E BRISTOL ST, ELKHART, IN 46514-4383
(574) 264-4161
(574) 266-8198
Mailing address
3820 E BRISTOL ST, ELKHART, IN 46514-4383
(574) 264-4161
(574) 266-8198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009531
IN
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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