Dr. Bryan Dryden Family Dentistry | |
509 W Hanley Ave Suite 102 Coeur D Alene ID 83815-8994 | |
(208) 664-9506 | |
(208) 665-1598 |
Full Name | Dr. Bryan Dryden Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 509 W Hanley Ave, Coeur D Alene, Idaho |
Authorized Official Name and Position | Bryan Radar Dryden (DR. BRYAN DRYDEN) |
Authorized Official Contact | 2086649506 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Bryan Dryden Family Dentistry 509 W Hanley Ave Suite 102 Coeur D Alene ID 83815-8994 Ph: (208) 664-9506 | Dr. Bryan Dryden Family Dentistry 509 W Hanley Ave Suite 102 Coeur D Alene ID 83815-8994 Ph: (208) 664-9506 |
NPI Number | 1922267491 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922267491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D3332 (Idaho) | Primary |
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