Individual
RYAN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 95TH DR NE, LAKE STEVENS, WA 98258
(425) 512-9887
Mailing address
11519 22ND ST SE, LAKE STEVENS, WA 98258-7411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60877925
WA
1223P0221X
Pediatric Dentistry
Primary
DE60877925
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE60877925
—
WA
Enumeration date
07/05/2018
Last updated
10/24/2019
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