Provider Demographics
NPI:1932478393
Name:PAJTAS, BRYNN M (DDS, MS)
Entity Type:Individual
Prefix:MS
First Name:BRYNN
Middle Name:M
Last Name:PAJTAS
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:22006 GREATER MACK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080
Mailing Address - Country:US
Mailing Address - Phone:586-772-6090
Mailing Address - Fax:586-772-0621
Practice Address - Street 1:22006 GREATER MACK AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2307
Practice Address - Country:US
Practice Address - Phone:586-772-6090
Practice Address - Fax:586-772-0621
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI29010200691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics