Individual
AUSTIN RYAN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6003
(956) 365-6780
Mailing address
5700 EDWARDS RANCH RD STE 100, FORT WORTH, TX 76109-4128
(817) 292-2004
(817) 292-7083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22241
TX
1223P0221X
Pediatric Dentistry
Primary
22241
TX
Other
Enumeration date
08/01/2006
Last updated
06/09/2021
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