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1215141346
BRIAN C. FRYAR
LA PORTE, IN
NPI
1215141346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN 1200-8697A)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Dr. BRIAN C. FRYAR DDS.,M.S.D.
1700 A ST
LA PORTE, IN 46350-5925
Phone number: 219-362-5500
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Mailing Address
Dr. BRIAN C. FRYAR DDS.,M.S.D.
1700 A ST
LA PORTE, IN 46350-5925
Phone number: 219-362-5500
Copy
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