| Michael D. Bryman, D.d.s., Inc. | |
|
6633 Telephone Rd Suite #225 Ventura CA 93003-5569 | |
| (805) 642-1555 | |
| (805) 642-1687 |
| Full Name | Michael D. Bryman, D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6633 Telephone Rd, Ventura, California |
| Authorized Official Name and Position | Michael Bryman (PRESIDENT) |
| Authorized Official Contact | 3104751881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Bryman, D.d.s., Inc. 6633 Telephone Rd Suite #225 Ventura CA 93003-5569 Ph: (805) 642-1555 | Michael D. Bryman, D.d.s., Inc. 6633 Telephone Rd Suite #225 Ventura CA 93003-5569 Ph: (805) 642-1555 |
| NPI Number | 1386779155 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 01/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386779155 | NPI | - | NPPES |
| 24084 | Other | CA | CA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24084 (California) | Primary |
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