Ryan Brant Munden D.D.S.

NPI 1083947691 - Dentist - 1223G0001X

NPI Details
NPI 1083947691
Gender Male
Enumeration Date 09/14/2009
Last Updated 09/14/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
124 E INDIANA AVE
BLOOMFIELD IN, 47424-1045, US
Phone (812) 384-4191
Fax (812) 384-4191
Business Location
124 E INDIANA AVE
BLOOMFIELD IN, 47424-1045, US
Phone (812) 384-4191
Fax (812) 384-4191
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12011326A
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According to our database, Dr. Ryan Brant Munden D.D.S. NPI is 1083947691, taxonomy code is 1223G0001X and license number is 12011326A, license state is located at Indiana. Ryan Brant Munden D.D.S. physically located at 124 E Indiana Ave, Bloomfield IN, 47424-1045. NPI Number Ryan Brant Munden D.D.S. has the Individual type.

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1083947691 NPI number is provided on an as is basis without warranty of any kind. 1083947691 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan Brant Munden D.D.S. are for informational purposes only.