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General NPI Number Information
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NPI Number | 1295853448
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Entity Type | Organization
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Legal Business Name | GEORGE H. K. BRYANT DDS INCORPORATED
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 32341 COAST HWY
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6701
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Country | US
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Telephone | 949-499-1351
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Fax | 949-499-1611
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Provider Business Mailing Address
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Address Line | 32341 COAST HWY
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6701
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Country | US
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Telephone | 949-499-1351
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Fax | 949-499-1611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE HAMILTON KERR BRYANT
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Credential | D.D.S
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Telephone | 949-499-1351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17039
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License Number State | CA
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