DR. RYAN THEOBALD, D.D.S.
Dentist
Active
Individual
NPI: 1508154634
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 6302 (OK) |
Frequently Asked Questions
NPI 1508154634 is the National Provider Identifier for DR. RYAN THEOBALD, D.D.S., a Dentist provider located in Mustang, OK. This NPI was enumerated on July 11, 2011.
DR. RYAN THEOBALD, D.D.S. practices at 1041 E HWY 152, Mustang, OK 73064.
Quick Facts
- NPI
- 1508154634
- Type
- Individual
- Enumerated
- Jul 11, 2011
- Last Updated
- Jul 11, 2011
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