Organization
RYAN HOLBROOK DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HOLBROOK DDS (DENTIST)
(314) 409-9981
Entity
Organization
Contact information
Practice address
1504 N CHURCH RD STE A, LIBERTY, MO 64068-7163
(816) 792-6469
Mailing address
2900 OAK ST APT 311, KANSAS CITY, MO 64108-3384
(314) 409-9981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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