Individual
RYAN GOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583-1530
(702) 580-7022
Mailing address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583-1530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
107348
CA
122300000X
Dentist
36298
TX
122300000X
Dentist
Primary
7990
NE
Other
Enumeration date
07/10/2020
Last updated
08/20/2024
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