O'bryan Dental Clinic

NPI #1639424963 in Brandon, Mississippi

Provider Information

NPI Number: 1639424963
Entity Type: Organization
Organization Name: O'bryan Dental Clinic
Primary Specialty: Dentist
Enumeration Date: Jul 24, 2012
Last Updated: Jul 24, 2012

Practice Location

Address: 6181 HIGHWAY 18
City: Brandon
State: Mississippi
ZIP Code: 39042-8296
Phone: (601) 825-0559

Authorized Official

Name: DR. TANYA M O'BRYAN, DMD
Title: OWNER/DENTIST
Phone: (601) 825-0559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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