Individual
DR. TYLER LEE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2825 WILLETTA ST SW, SUITE A, ALBANY, OR 97321-3846
(541) 928-2301
Mailing address
2825 WILLETTA ST SW, SUITE A, ALBANY, OR 97321-3846
(541) 928-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8673
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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