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1467636688
RYAN K EDMUNDS
PROVO, UT
NPI
1467636688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: UT 7670872-9923)
Enumeration Date
2007-12-24
Last Update Date
2010-06-10
Business Address
Dr. RYAN K EDMUNDS DDS
745 N 500 W STE 102
PROVO, UT 84601-1473
Phone number: 801-374-8002
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Mailing Address
Dr. RYAN K EDMUNDS DDS
745 N 500 W STE 102
PROVO, UT 84601-1473
Phone number: 801-374-8002
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