DR. Theodore Paul Bryson, D.D.S.

NPI #1629185178 in Driggs, Idaho

Provider Information

NPI Number: 1629185178
Entity Type: Individual
Name: DR. Theodore Paul Bryson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 30 E. HARPER ST.
City: Driggs
State: Idaho
ZIP Code: 83422-5179
Phone: (208) 354-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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