Individual
KATHERINE BRAY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7465 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-4209
(843) 797-5400
Mailing address
716 W HARRISON RD, CHARLESTON, SC 29407-7121
(843) 797-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4046
SC
1223P0221X
Pediatric Dentistry
Primary
710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4046
—
SC
Enumeration date
11/01/2006
Last updated
11/09/2012
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