Emory W. Bryan, Jr.,d.d.s., P.c.
NPI #1417008947 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1417008947
- Entity Type
- Organization
- Organization Name
- Emory W. Bryan, Jr.,d.d.s., P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6427 GEORGETOWN NORTH BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-7007
- Phone
- (260) 485-9142
Authorized Official
- Name
- DR. EMORY WALLACE BRYAN JR., D.D.S.
- Title
- PRESIDENT
- Phone
- (260) 485-9142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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