Individual
DR. RYAN M PINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-8300
(719) 591-7599
(719) 622-9809
Mailing address
509 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-8300
(719) 591-7599
(719) 622-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10499
CO
1223G0001X
General Practice Dentistry
8012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8012
DENTAL LICENSE
AZ
01
—
D10499
COLORADO BOARD OF DENTAL EXAMINERS
CO
Enumeration date
08/11/2010
Last updated
01/23/2012
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