Organization
RYAN G ZASTROW, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN G ZASTROW DDS (MEMBER/DENTIST)
(970) 766-7676
Entity
Organization
Contact information
Practice address
275 MAIN ST UNIT O 203, EDWARDS, CO 81632
(970) 766-7676
Mailing address
275 MAIN ST UNIT O 203, EDWARDS, CO 81632
(970) 766-7676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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