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1417074873
SHANE R BRYANT
PORTLAND, ME
NPI
1417074873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ME 3005)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mr. SHANE R BRYANT DMD
1334 WASHINGTON AVE
PORTLAND, ME 04103-3670
Phone number: 207-797-5834
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Mailing Address
Mr. SHANE R BRYANT DMD
1334 WASHINGTON AVE
PORTLAND, ME 04103-3670
Phone number: 207-797-5834
Copy
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