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Organization
WEST RIDGE FAMILY DENTAL, P.C.
Active
Organization
WEST RIDGE FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D BLANC DDS (SECRETARY)
(814) 833-1131
Entity
Organization
Contact information
Practice address
5712 W RIDGE RD, ERIE, PA 16506-1014
(814) 833-1131
Mailing address
5712 W RIDGE RD, ERIE, PA 16506-1014
(814) 833-1131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036140
PA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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