| Ryan Park, Dds, Pllc | |
|
811 Ne Alsbury Blvd Ste 600 Burleson TX 76028-2666 | |
| (817) 529-4300 | |
| Not Available |
| Full Name | Ryan Park, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 811 Ne Alsbury Blvd Ste 600, Burleson, Texas |
| Authorized Official Name and Position | Ryan Park (DDS) |
| Authorized Official Contact | 7187348899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Park, Dds, Pllc 811 Ne Alsbury Blvd Ste 600 Burleson TX 76028-2666 Ph: (817) 529-4300 | Ryan Park, Dds, Pllc 811 Ne Alsbury Blvd Ste 600 Burleson TX 76028-2666 Ph: (817) 529-4300 |
| NPI Number | 1093404683 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093404683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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