Individual
DR. ANDREW RYAN CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
735 SPARKS BLVD, SPARKS, NV 89434-7930
(775) 359-3934
(775) 359-4034
Mailing address
735 SPARKS BLVD, SPARKS, NV 89434-7930
(775) 359-3934
(775) 359-4034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5538
NV
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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