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Individual
RYAN CHALIFF
Active
Individual
RYAN CHALIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN123300
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS0000010741
TN
Other
Enumeration date
04/25/2018
Last updated
08/28/2024
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