Individual
DR. RYAN PAUL MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
170 MOORES RD, SUITE A, MANDEVILLE, LA 70471-2916
(985) 727-0991
(985) 727-0994
Mailing address
132 SUGARMILL RD, MATHEWS, LA 70375-2037
(985) 532-5283
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5120
LA
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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