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Bryan Russell Katz, DDS Valid NPI

Individual provider · General Practice Dentistry · Hanscom Afb, MA

NPI
1770898751
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
22DIO2424100 (NJ)
Sex
Male
Sole proprietor
No
Enumerated
2010-08-13
Last updated
2012-02-02
Practice location
90 Vandenberg Dr, 66 Mds (Afmc)
Hanscom Afb, MA 01731-2104
(781) 225-6789

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