Individual
PATRICK BENDON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2516 FORUM BLVD, SUITE 200, COLUMBIA, MO 65203-5405
(573) 446-6662
Mailing address
2516 FORUM BLVD, SUITE 200, COLUMBIA, MO 65203-5405
(573) 446-6662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2006014447
MO
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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