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Organization

RYAN DENTAL, LLC

Active
Other names
Broadway Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA L LOFT (ADMIN)
(651) 303-3203
Entity
Organization

Contact information

Practice address
216 BROADWAY AVE N, ROCHESTER, MN 55906-3646
(507) 289-5838
Mailing address
2210 BROADWAY AVE N, ROCHESTER, MN 55906-4009
(507) 288-7379

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11394
MN

Other

Enumeration date
06/07/2017
Last updated
06/07/2017
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