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1659894343
BRYAN J. OTIS
OOLTEWAH, TN
NPI
1659894343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 10597)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
BRYAN J. OTIS DDS
4957 SWINYAR DR
OOLTEWAH, TN 37363-2204
Phone number: 423-396-3154
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Mailing Address
BRYAN J. OTIS DDS
4957 SWINYAR DR
OOLTEWAH, TN 37363-2204
Phone number: 423-396-3154
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