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Individual

RYAN DAVID HARBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
850 E GRAND AVE, SUITE A, ESCONDIDO, CA 92025-3435
(760) 741-4061
(760) 432-8764
Mailing address
850 E GRAND AVE, SUITE A, ESCONDIDO, CA 92025-3435
(760) 741-4061
(760) 432-8764

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
60310
CA
1223P0300X
Periodontics
8188
AZ

Other

Enumeration date
10/21/2008
Last updated
05/29/2012
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