Individual
DR. RYAN SCOTT MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5425 LANDMARK PL, GREENWOOD VILLAGE, CO 80111-1951
(303) 773-8012
Mailing address
5425 LANDMARK PL STE 307, GREENWOOD VILLAGE, CO 80111-1951
(303) 773-8012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00203995
CO
Other
Enumeration date
05/28/2019
Last updated
06/12/2023
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