DR. Bryan Reed Medaris, D.D.S.

NPI #1174673222 in Nampa, Idaho

Provider Information

NPI Number
1174673222
Entity Type
Individual
Name
DR. Bryan Reed Medaris, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4411 E FLAMINGO AVE
City
Nampa
State
Idaho
ZIP Code
83687-3113
Phone
(208) 466-3597

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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