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1669025680
RYAN BEETHAM
TACOMA, WA
NPI
1669025680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
Dr. RYAN BEETHAM DMD
US ARMY DENTAC 9900 LINCOLN STREET, 2ND FLOOR
TACOMA, WA 98327
Phone number: 253-968-4079
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Mailing Address
Dr. RYAN BEETHAM DMD
9900 LINCOLN STREET, 2ND FLOOR, ATTN: CREDENTIAL OFFICE US ARMY DENTAC
TACOMA, WA 98327
Phone number: 253-968-4079
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