Bryant Anthony Irawan
NPI #1942862735 in Pinole, California
Provider Information
- NPI Number
- 1942862735
- Entity Type
- Individual
- Name
- Bryant Anthony Irawan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 2, 2019
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 2643 APPIAN WAY STE B
- City
- Pinole
- State
- California
- ZIP Code
- 94564-2253
- Phone
- (510) 758-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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