Individual
RYAN S. MANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8055 RITCHIE HWY STE 102, PASADENA, MD 21122-1074
(410) 590-6690
(410) 590-1693
Mailing address
730 HOWARDS LOOP, ANNAPOLIS, MD 21401-8740
(410) 533-8010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14599
MD
Other
Enumeration date
08/06/2009
Last updated
01/09/2013
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