| Bryan St Dental Pllc | |
|
210 S Bryan Rd Ste 4 Mission TX 78572-6208 | |
| (956) 585-7677 | |
| (956) 585-7627 |
| Full Name | Bryan St Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 S Bryan Rd Ste 4, Mission, Texas |
| Authorized Official Name and Position | Patrick Whilby (OWNER/DENTIST) |
| Authorized Official Contact | 9565835050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan St Dental Pllc 210 S Bryan Rd Ste 4 Mission TX 78572-6208 Ph: (956) 585-7677 | Bryan St Dental Pllc 210 S Bryan Rd Ste 4 Mission TX 78572-6208 Ph: (956) 585-7677 |
| NPI Number | 1659938132 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659938132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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