Individual
DR. RYAN SEAN MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(609) 420-3643
Mailing address
1463 MAYWOOD ST, SAINT PAUL, MN 55117-3418
(609) 420-3643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12882
MN
Other
Enumeration date
08/05/2007
Last updated
02/07/2013
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