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Organization

DR. BRYAN DRYDEN FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYAN RADAR DRYDEN DDS (DR. BRYAN DRYDEN)
(208) 664-9506
Entity
Organization

Contact information

Practice address
509 W HANLEY AVE, SUITE 102, COEUR D ALENE, ID 83815-8994
(208) 664-9506
(208) 665-1598
Mailing address
509 W HANLEY AVE, SUITE 102, COEUR D ALENE, ID 83815-8994
(208) 664-9506
(208) 665-1598

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D3332
ID

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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