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Individual

DR. RYAN CARTER WAINWRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
COMMANDING OFFICER 2D DENBN/NDC PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8479
Mailing address
COMMANDING OFFICER 2D DENBN/NDC PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8479

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11345601-9921
UT

Other

Enumeration date
07/12/2019
Last updated
07/12/2019
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