Individual
RYAN EDWARD VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3011 CENTRE OAK WAY STE 102, GERMANTOWN, TN 38138-6301
(901) 701-7500
Mailing address
3011 CENTRE OAK WAY STE 102, GERMANTOWN, TN 38138-6301
(901) 701-7500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10076
TN
Other
Enumeration date
06/11/2015
Last updated
01/21/2021
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