# RYAN S. KEZELE D.D.S. P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639928393
- **Authorized official:** RYAN KEZELE DDS PS (DENTIST)
- **Authorized official phone:** (509) 965-3235

## Contact information

- **Practice address:** 606 S 48TH AVE, YAKIMA, WA 98908-3613
- **Practice address phone:** (509) 965-3235
- **Practice address fax:** (509) 965-9405
- **Mailing address:** 606 S 48TH AVE, YAKIMA, WA 98908-3613
- **Mailing address phone:** (509) 965-3235
- **Mailing address fax:** (509) 965-9405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024