Individual
RYAN BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1395 CENTER DR, D1-17 - ENDODONTICS, GAINESVILLE, FL 32610-3006
(310) 853-0544
Mailing address
1395 CENTER DR, D1-17 - ENDODONTICS, GAINESVILLE, FL 32610-3006
(310) 853-0544
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DRP1330
FL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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