Individual
DR. RYAN NORMAN BORGWARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
820 FISHER DRIVE, WATERLOO, IA 50701
(319) 233-8851
(319) 233-0132
Mailing address
3640 CANTERBURY CT, WATERLOO, IA 50702-5705
(319) 233-8851
(319) 233-0132
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
018.001765
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
08807
IA
Other
Enumeration date
04/28/2010
Last updated
09/11/2018
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