DR. RYAN EDMUNDS, DDS

Dentist - Periodontics

Active Individual
NPI: 1467636688

Practice Address

745 N 500 W STE 102
Provo, UT 84601

Phone: (801) 374-8002

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X Yes 7670872-9923 (UT)

Frequently Asked Questions

NPI 1467636688 is the National Provider Identifier for DR. RYAN EDMUNDS, DDS, a Dentist - Periodontics provider located in Provo, UT. This NPI was enumerated on December 24, 2007.
DR. RYAN EDMUNDS, DDS practices at 745 N 500 W STE 102, Provo, UT 84601.

Quick Facts

NPI
1467636688
Type
Individual
Enumerated
Dec 24, 2007
Last Updated
Jun 10, 2010

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