Individual
RYAN HORSTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 BRIARCLIFF DR STE CANDD, CLAYTON, NC 27527-7127
(919) 578-3069
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13625
NC
1223G0001X
General Practice Dentistry
39718
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
02/22/2023
Last updated
07/24/2024
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