| NPI | 1205912482 |
|---|---|
| Former Legal Business Name | MICHAEL J BRYSON DDS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BRYSON Owner 308-234-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 6300) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 4638) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |