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NPI Code Detail

MEDICARE: DR. JOHN BRYAN DELL D.D.S.

MEDICARE:  DR. JOHN BRYAN DELL  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
11223G0001XGeneral Practice Dentistry20846CA

General Provider Information

NPI Number : 1376541706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN BRYAN DELL D.D.S.
Provider Business Mailing Address
First Line : 1245 MISSION RD
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-1397
Country : US
Telephone Number : 650-952-9565
Fax Number : 650-952-9383
Provider Business Practice Location Address
First Line : 1245 MISSION RD
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-1397
Country : US
Telephone Number : 650-952-9565
Fax Number : 650-952-9383
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 12/14/2012

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Directions to “ DR. JOHN BRYAN DELL D.D.S.” Practice Location

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