Individual
RYAN CLAYBOURNE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3143 E 29TH AVE, SPOKANE, WA 99223-4815
(509) 536-5900
(509) 534-1015
Mailing address
3143 E 29TH AVE, SPOKANE, WA 99223-4815
(509) 536-5900
(509) 534-1015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010962
WA
1223G0001X
General Practice Dentistry
D7622
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5055090
—
WA
Enumeration date
04/19/2007
Last updated
10/07/2015
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