BRYAN N HOUSE DDS PA
Dentist at Highway 20, Niceville, FL

License number
Florida DN15422
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. BRYAN HOUSE DDS
Title: OWNWER
Phone: (850) 897-4171
Address
Address
4400 E Highway 20 STE 111, Niceville, FL 32578
National Provider ID: 1609146539
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRYAN N. HOUSE, D.D.S., PA

4400 Hwy 20 E STE 111, Niceville, FL 32578

Registration:
Jan 23, 2001
State ID:
P01000009029
Business type:
Florida Profit Corporation
Director:
Bryan N House (Director), 1327 Windward Crk, Niceville, FL 32578 (Physical)
Agent:
Bryan House,4400 Hwy 20 E, Niceville, FL 32578 (Physical)
EIN:
593700227

Dentist licenses in Florida