DR. Keith Andrew Bryant, D.M.D.
NPI #1487714499 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1487714499
- Entity Type
- Individual
- Name
- DR. Keith Andrew Bryant, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4224 S STATE ROUTE 159
- Address 2
- SUITE 1
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3201
- Phone
- (618) 288-6227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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