Individual
DR. RYAN DANIEL AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6132 CAROLINA BEACH RD STE 6, WILMINGTON, NC 28412-2759
(910) 392-9101
Mailing address
6132 CAROLINA BEACH RD STE 6, WILMINGTON, NC 28412-2759
(910) 392-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11065
NC
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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