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NPI Code Detail

MEDICARE: BRYANT GIANG DDS LLC

MEDICARE: BRYANT GIANG DDS LLC
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 Dentistry

General Provider Information

NPI Number : 1861140527
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRYANT GIANG DDS LLC
Provider Business Mailing Address
First Line : 1005 S BURRUS ST
Second Line :
City : WICHITA
State : KS
Zip : 67207-3609
Country : US
Telephone Number : 316-207-4237
Fax Number :
Provider Business Practice Location Address
First Line : 2814 OHIO ST
Second Line :
City : AUGUSTA
State : KS
Zip : 67010-2361
Country : US
Telephone Number : 316-775-5451
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. BRYANT VAN GIANG
Credential : DDS
Telephone Number : 316-207-4237
Provider Enumeration Date : 03/12/2022
Last Update Date : 03/22/2023

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