DR. Brian C. Fryar, DDS.,M.S.D.

NPI #1215141346 in La Porte, Indiana

Provider Information

NPI Number: 1215141346
Entity Type: Individual
Name: DR. Brian C. Fryar, DDS.,M.S.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS.,M.S.D.
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1700 A ST
City: La Porte
State: Indiana
ZIP Code: 46350-5925
Phone: (219) 362-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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