Organization
RYAN J. COLBURN DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN J. COLBURN DDS (PRESIDENT)
(864) 574-5297
Entity
Organization
Contact information
Practice address
1410A JOHN B WHITE BLVD, SPARTANBURG, SC 29306-3927
(864) 574-5297
Mailing address
1410A JOHN B WHITE BLVD, SPARTANBURG, SC 29306-3927
(864) 574-5297
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3985
SC
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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