Individual
DR. RYAN P WYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1806 W 11TH ST, SUITE 2, SEDALIA, MO 65301-5159
(660) 827-1212
Mailing address
1806 W 11TH ST, SUITE 2, SEDALIA, MO 65301-5159
(660) 827-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007014578
MO
Other
Enumeration date
08/14/2007
Last updated
10/30/2007
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