Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN A LARA, D.D.S
ActiveBRYAN A LARA, D.D.S is a Pediatric Dentistry healthcare provider located in EASLEY, South Carolina. NPI 1831580620 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · EASLEY, SC
Registration Details
- NPI Number
- 1831580620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2015 (11.503467196375 yrs)
- Last Updated
- Oct 22, 2019
- License
-
P-183 (LA)
Practice Information
- Address
-
110 AUSTON WOODS CIRAPT UEASLEY, SC, 296404301Browse SC providers · Browse ZIP 29640
- Phone
- 8642437534
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.