DR. Ryan John Theobald, D.D.S.

NPI #1508154634 in Mustang, Oklahoma

Provider Information

NPI Number
1508154634
Entity Type
Individual
Name
DR. Ryan John Theobald, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Jul 11, 2011
Last Updated
Jul 11, 2011

Practice Location

Address
1041 E HWY 152
ZIP Code
73064-5117
Phone
(405) 518-4011

Specialties & Taxonomy Codes

Specialty
Dentist

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