Organization
RYAN WALLRICH DMD, PC
Active
Other names
Harbor Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN YOUNG WALLRICH DMD (DENTIST/OWNER)
(619) 405-5785
Entity
Organization
Contact information
Practice address
1310 ROSECRANS ST STE B, SAN DIEGO, CA 92106-4609
(619) 405-5785
Mailing address
2322 CAMINITO ANDADA, SAN DIEGO, CA 92107-1516
(619) 405-5785
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
100556
CA
Other
Enumeration date
04/13/2018
Last updated
05/02/2018
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