Individual
RYAN J AUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 N LYNNDALE DR, APPLETON, WI 54914-3011
(920) 731-4484
(920) 731-2889
Mailing address
1100 N LYNNDALE DR, APPLETON, WI 54914-3011
(920) 731-4484
(920) 731-2889
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5224
WI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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