RYAN DAVID SPARKS

CORVALLIS, OR
NPI1417958653
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D7602)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
DR. RYAN DAVID SPARKS DMD
2635 NW ROLLING GREEN DR
CORVALLIS, OR 97330-3519
Phone number: 541-754-9322
Mailing Address
DR. RYAN DAVID SPARKS DMD
2635 NW ROLLING GREEN DR
CORVALLIS, OR 97330-3519
Phone number: 541-754-9322