Individual
DR. RYAN BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
15894 S LA GRANGE RD, ORLAND PARK, IL 60467-5563
(708) 737-5325
Mailing address
7610 GLADSTONE DR UNIT 104, NAPERVILLE, IL 60565-1130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019035171
IL
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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