SHANE R BRYANT

PORTLAND, ME
NPI1417074873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ME  3005)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
Mr. SHANE R BRYANT DMD
1334 WASHINGTON AVE
PORTLAND, ME 04103-3670
Phone number: 207-797-5834
Mailing Address
Mr. SHANE R BRYANT DMD
1334 WASHINGTON AVE
PORTLAND, ME 04103-3670
Phone number: 207-797-5834
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