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Individual

DR. RYAN THOMAS HAYWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(505) 265-1711

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202262
CO

Other

Enumeration date
03/03/2014
Last updated
04/03/2020
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