Individual
DR. BRYAN RICHARD WIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
11329 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4201
(513) 772-1671
Mailing address
11329 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4201
(513) 772-1671
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30023619
OH
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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