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Wayman Darryll Price, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Brandon, FL

NPI
1134200314
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
4391 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-10-17
Last updated
2008-05-22
Practice location
213-B Kingsway Rd.
Brandon, FL 33510-4637
(813) 689-4224

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