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Individual

DR. KANIKA YADAV RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22 GLEN ED PROFESSIONAL PARK STE B, GLEN CARBON, IL 62034-3300
(618) 659-2030
Mailing address
22 GLEN ED PROFESSIONAL PARK STE B, GLEN CARBON, IL 62034-3300
(618) 659-2030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019033258
IL
1223E0200X
Endodontics
Primary
021.003283
IL

Other

Enumeration date
09/28/2022
Last updated
10/31/2024
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