Individual
DR. RYAN W JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3245 S BRANDENBERG AVE, EAGLE, ID 83616-4413
(503) 679-9797
Mailing address
37 W ARCHERFIELD ST STE 100, MERIDIAN, ID 83646-6587
(208) 391-2894
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
D4613
ID
Other
Enumeration date
11/09/2006
Last updated
08/30/2022
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