Individual
RYAN SCOTT KEZELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
606 S 48TH AVE, YAKIMA, WA 98908-3613
(509) 965-3235
(509) 965-9405
Mailing address
2991 ROSENKRANZ RD, TIETON, WA 98947-9520
(509) 673-0190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9368
WA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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