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Dr. Bryan Russell Katz, DDS

Dentist, General Practice in Hanscom Afb, MA. Individual provider (NPI-1).

NPI number1770898751
StatusActive
Last updated in NPPESFeb 2, 2012

Details

NPI
1770898751
Entity type
Individual (NPI-1)
Name
Dr. Bryan Russell Katz
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 13, 2010
Last updated
Feb 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice22DIO2424100NJYes

Practice location

90 Vandenberg Dr
66 Mds (Afmc)
Hanscom Afb, MA 01731-2104

Phone 781-225-6789 · Fax 781-225-2564

Mailing address

90 Vandenberg Dr
66 Mds (Afmc)
Hanscom Afb, MA 01731-2104

Phone 781-225-6789 · Fax 781-225-2564

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Other General Practice Dentistry providers in Hanscom Afb, MA

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