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Individual
DR. RYAN JAMES DAVIS
Active
Individual
DR. RYAN JAMES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027.427
IL
1223P0300X
Periodontics
Primary
021.002357
IL
Other
Enumeration date
03/14/2008
Last updated
10/17/2012
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