Individual
DR. RYAN MICHAEL HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
640 W KARSCH BLVD, FARMINGTON, MO 63640-3342
(573) 218-0346
Mailing address
422 LINCOLN TERRACE CT, FENTON, MO 63026-3981
(314) 409-9981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017017277
MO
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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