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Individual

DR. RYAN HARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
938 W CHURCH ST, JASPER, GA 30143-1496
(706) 862-1769
Mailing address
938 W CHURCH ST, JASPER, GA 30143-1496
(706) 862-1769

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
26049
FL
122300000X
Dentist
Primary
DN122439
GA

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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