Medaris, Bryan Reed
Medaris, Bryan Reed is an individual health care provider with primary practice located at 4411 E Flamingo Ave , Nampa ID 83687-3113. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Medaris, Bryan Reed can be contacted via phone (208) 466-3597.Contact Information
Primary practice address
4411 E Flamingo Ave
Nampa ID 83687-3113
Phone: (208) 466-3597
Fax: (208) 466-8147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-3814 | Idaho |
Profile Details
| NPI number | 1174673222 |
|---|---|
| LBN Legal business name | Medaris, Bryan Reed |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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