Individual
RYAN LADELL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
614 E ALDER ST, SUITE 2, WALLA WALLA, WA 99362-2073
(509) 522-0790
(509) 529-1094
Mailing address
614 E ALDER ST, SUITE 2, WALLA WALLA, WA 99362-2073
(509) 522-0790
(509) 529-1094
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60275896
WA
Other
Enumeration date
05/11/2012
Last updated
10/09/2014
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