Individual
DR. RYAN DANIEL FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1450 CLEMENTS BRIDGE RD STE 13, DEPTFORD, NJ 08096-3068
(856) 322-0536
Mailing address
1450 CLEMENTS BRIDGE RD STE 13, DEPTFORD, NJ 08096-3068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02928300
NJ
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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