Individual
DR. RYAN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5410 LYNX LN STE 290, COLUMBIA, MD 21044-2483
(410) 910-9716
Mailing address
2809 BOSTON ST APT 134, BALTIMORE, MD 21224-4881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17200
MD
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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