NPI 1003147521

Ryan T. Mangrum, DMD

Practitioner General Practice Dentistry Westminster, CO

Practice location

Address: 7990 Sheridan Blvd, Westminster, CO 80003-6213
Phone: (303) 650-4101

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 10066 (CO)

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Registry record

NPI: 1003147521
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2010
Record last updated: 22 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.