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Individual
RYAN CLAYBOURNE ALLEN
Active
Individual
RYAN CLAYBOURNE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010962
WA
1223G0001X
General Practice Dentistry
D7622
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5055090
—
WA
Enumeration date
04/19/2007
Last updated
10/07/2015
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