Individual
DR. RYAN REED BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1250 THOMPSON RD, COOS BAY, OR 97420-2538
(541) 269-5353
Mailing address
1250 THOMPSON RD, COOS BAY, OR 97420
(541) 269-5353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9399
OR
Other
Enumeration date
07/21/2009
Last updated
07/01/2010
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