DR. Bryan James Mick, DDS

NPI #1942555941 in Appleton, Wisconsin

Provider Information

NPI Number: 1942555941
Entity Type: Individual
Name: DR. Bryan James Mick, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 17, 2012
Last Updated: Jul 17, 2012

Practice Location

Address: 5337 W GRANDE MARKET DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-8442
Phone: (920) 731-7445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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