Individual
RYAN COLLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26357 MCBEAN PKWY STE 255, VALENCIA, CA 91355-5504
(661) 255-1515
(661) 255-1661
Mailing address
26357 MCBEAN PKWY STE 255, VALENCIA, CA 91355-5504
(661) 255-1515
(661) 255-1661
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
64424
CA
Other
Enumeration date
04/21/2011
Last updated
08/08/2015
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