Individual provider · Type 1 NPI

Ryan Colletta

Oral and Maxillofacial Surgery (Dentist) · Valencia, CA

NPI number 1962793174 Active

Practice location

26357 Mcbean Pkwy Ste 255
Valencia, CA 91355-5504

Call (661) 255-1515 Map

Fax (661) 255-1661

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X64424 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1962793174

Ryan Colletta's National Provider Identifier is 1962793174, issued on Apr 21, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Valencia, CA. The record was last updated on Aug 8, 2015.