Georgetown Dental Associates LLC

NPI #1558745950 in Columbia, Missouri

Provider Information

NPI Number: 1558745950
Entity Type: Organization
Organization Name: Georgetown Dental Associates LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 1601 CHAPEL HILL RD
Address 2: SUITE A
City: Columbia
State: Missouri
ZIP Code: 65203-5462
Phone: (573) 445-9526

Authorized Official

Name: PATRICK RYAN, DDS
Title: DENTIST
Phone: (573) 445-9526

Specialties & Taxonomy Codes

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

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