Individual
DR. RYAN BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3300 NORTH RUNNING CREEK WAY, BLDG F, SUITE #101, LEHI, UT 84043
(801) 766-2266
Mailing address
148 ARBOR CT, OMAHA, NE 68108-1725
(801) 842-6116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
112
NE
1223P0221X
Pediatric Dentistry
Primary
8490378-9922
UT
Other
Enumeration date
07/29/2013
Last updated
06/11/2014
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