Ryan Depew, DDS
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1659935682
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1659935682
- Entity type
- Individual (NPI-1)
- Name
- Ryan Depew
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2019
- Last updated
- Apr 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Kneeland StBoston, MA 02111-1527
Phone 617-636-6828
Mailing address
6497 Cedarcrest Rd NwAcworth, GA 30101-4210
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