| Bryan N House Dds Pa | |
|
4400 E Highway 20 Ste 111 Niceville FL 32578-8779 | |
| (850) 897-4171 | |
| Not Available |
| Full Name | Bryan N House Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4400 E Highway 20, Niceville, Florida |
| Authorized Official Name and Position | Bryan House (OWNWER) |
| Authorized Official Contact | 8508974171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan N House Dds Pa 4400 E Highway 20 Ste 111 Niceville FL 32578-8779 Ph: (850) 897-4171 | Bryan N House Dds Pa 4400 E Highway 20 Ste 111 Niceville FL 32578-8779 Ph: (850) 897-4171 |
| NPI Number | 1609146539 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609146539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN15422 (Florida) | Primary |
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