THEODORE PAUL BRYSON

DRIGGS, ID
NPI1629185178
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3783)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
Dr. THEODORE PAUL BRYSON D.D.S.
30 E. HARPER ST.
DRIGGS, ID 83422-5179
Phone number: 208-354-7878
Mailing Address
Dr. THEODORE PAUL BRYSON D.D.S.
PO BOX 1196
DRIGGS, ID 83422-1196
Phone number: 208-354-7878
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