Most Relevant Information
Provider Data
| NPI Number: | 1003251323 |
| Provider Name: | RYAN WALSH MCCOMB DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 62296 |
Most Important Dates
| Enumeration Date: | 04/30/2013 |
| Last Updated: | 04/30/2013 |
Provider Practice Location
241 HORIZON AVE APT A
VENICE
CA
902915758
Practice Location Phone/Fax
| Phone: | 3107452090 |
| Fax: |
Provider Mailing Location
241 HORIZON AVE APT A
VENICE
CA
902915758
Provider Mailing Phone/Fax
| Phone: | 3107452090 |
| Fax: |