NPI 1598432502

Dwayne Douglas Bryant, DENTALASSISTANT

Practitioner Dental Assistant Fort Riley, KS

Practice location

Address: 228 Beeman Pl, Fort Riley, KS 66442-7009
Phone: (214) 609-6149

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1598432502
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Aug 2021
Record last updated: 26 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.