| Organization Name: | G BRYON CRAIG DDS PLLC |
| NPI Number: | 1750743415 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | G BRYON CRAIG (OWNER) |
| Mailing Address: | 455 W Main St Monroe |
| State: | WA US |
| Postal Code: | 982721813 |
| Phone Number: | 3607947132 |
| Fax Number: | 3608631959 |
| NPI Enumeration Date: | 03/22/2016 |
| NPI Last Update Date: | 03/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 10472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |