RYAN M. DIEPENBROCK

FORT WAYNE, IN
NPI1942399159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: IN  12012587A)
Additional Taxonomies204E00000X Oral & Maxillofacial Surgery
(Licence: CA  63091)
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OH  30-022164)
Enumeration Date2006-10-12
Last Update Date2025-11-25
Business Address
Dr. RYAN M. DIEPENBROCK D.D.S.
7845 CARNEGIE BLVD STE A
FORT WAYNE, IN 46804-5792
Phone number: 260-423-2340
Mailing Address
Dr. RYAN M. DIEPENBROCK D.D.S.
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-7085
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