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NPI Code Detail

MEDICARE: DR. GEORGE HAMILTON KERR BRYANT D.D.S.

MEDICARE:  DR. GEORGE HAMILTON KERR BRYANT  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist17039CA

General Provider Information

NPI Number : 1134340953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE HAMILTON KERR BRYANT D.D.S.
Provider Business Mailing Address
First Line : 32341 S. COAST HWY
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-6701
Country : US
Telephone Number : 949-499-1351
Fax Number :
Provider Business Practice Location Address
First Line : 32341 S. COAST HWY
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-6701
Country : US
Telephone Number : 949-499-1351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 07/08/2007

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Directions to “ DR. GEORGE HAMILTON KERR BRYANT D.D.S.” Practice Location

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