Individual
RYAN J NIEMIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28257 WHITE RD, PERRYSBURG, OH 43551-2977
(419) 874-0423
Mailing address
28257 WHITE RD, PERRYSBURG, OH 43551-2977
(419) 874-0423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
022448
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2685910
—
OH
Enumeration date
04/20/2007
Last updated
10/29/2008
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