Individual
DR. RYAN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1329 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3921
(337) 332-2412
(337) 332-5159
Mailing address
1329 GRAND POINTE AVE, BREAUX BRIDGE, LA 70517-3921
(337) 332-2412
(337) 332-5159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5886
LA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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