Individual
DR. RYAN ETUE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 SE EVERETT MALL WAY, SUITE 18, EVERETT, WA 98208-3250
(425) 513-1993
(425) 513-2132
Mailing address
305 SE EVERETT MALL WAY, SUITE 18, EVERETT, WA 98208-3250
(425) 513-1993
(425) 513-2132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D8648
OR
1223G0001X
General Practice Dentistry
Primary
DE00010977
WA
Other
Enumeration date
03/29/2007
Last updated
04/06/2010
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