Individual
DR. HEATHER LYNN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4800 NE 20TH TER STE 302, FT LAUDERDALE, FL 33308-4510
(954) 565-6335
Mailing address
1033 ROBERTS BRANCH PKWY STE 103, COLUMBIA, SC 29203-9148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
23304
FL
1223E0200X
Endodontics
Primary
9369
SC
Other
Enumeration date
08/28/2018
Last updated
07/18/2019
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