Individual
DR. BRYAN RONALD THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1601 RICKENBACKER DR, SUITE 7, SUN CITY CENTER, FL 33573-5332
(813) 323-7052
Mailing address
1601 RICKENBACKER DR, SUITE 7, SUN CITY CENTER, FL 33573-5332
(813) 323-7052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19759
FL
Other
Enumeration date
07/05/2012
Last updated
06/18/2013
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