| Ryan J. Colburn Dds, Llc | |
|
1410a John B White Blvd Spartanburg SC 29306-3927 | |
| (864) 574-5297 | |
| Not Available |
| Full Name | Ryan J. Colburn Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1410a John B White Blvd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Ryan J. Colburn (PRESIDENT) |
| Authorized Official Contact | 8645745297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan J. Colburn Dds, Llc 1410a John B White Blvd Spartanburg SC 29306-3927 Ph: (864) 574-5297 | Ryan J. Colburn Dds, Llc 1410a John B White Blvd Spartanburg SC 29306-3927 Ph: (864) 574-5297 |
| NPI Number | 1801069166 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801069166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3985 (South Carolina) | Primary |
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