Ryan G Zastrow, Dds, Pllc

NPI #1073092037 in Edwards, Colorado

Provider Information

NPI Number: 1073092037
Entity Type: Organization
Organization Name: Ryan G Zastrow, Dds, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2018
Last Updated: Aug 10, 2018

Practice Location

Address: 275 MAIN ST UNIT O 203
City: Edwards
State: Colorado
ZIP Code: 81632
Phone: (970) 766-7676

Authorized Official

Name: RYAN G ZASTROW, DDS
Title: MEMBER/DENTIST
Phone: (970) 766-7676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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