Bryan Christopher Bumpas Valid NPI

Individual provider · General Practice Dentistry · Edmond, OK

NPI

1861668592

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

OK5367 (OK)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-05-02

Last updated

2020-08-13