Individual
DR. RYAN LEE CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, PA
Contact information
Practice address
270 N SYKES CREEK PKWY, SUITE 104, MERRITT ISLAND, FL 32953-3492
(321) 453-2535
(321) 483-3181
Mailing address
270 N SYKES CREEK PKWY, SUITE 104, MERRITT ISLAND, FL 32953-3492
(321) 453-2535
(321) 483-3181
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16680
FL
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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