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Individual

DR. RYAN K HINCKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
714 LARGENT ST, LUFKIN, TX 75904-3232
(936) 639-1397
(936) 634-9791
Mailing address
PO BOX 153837, LUFKIN, TX 75915-3837
(936) 639-1397
(936) 634-9791

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27645
TX

Other

Enumeration date
01/17/2012
Last updated
01/17/2012
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