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1295116655
RYAN EDWARD VICK
GERMANTOWN, TN
NPI
1295116655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 10076)
Enumeration Date
2015-06-11
Last Update Date
2021-01-21
Business Address
RYAN EDWARD VICK DDS
3011 CENTRE OAK WAY STE 102
GERMANTOWN, TN 38138-6301
Phone number: 901-701-7500
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Mailing Address
RYAN EDWARD VICK DDS
3011 CENTRE OAK WAY STE 102
GERMANTOWN, TN 38138-6301
Phone number: 901-701-7500
Copy
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