Individual
DR. RYAN SCOTT SHONKWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 N OAK ST, ARCOLA, IL 61910-1417
(217) 518-1174
(217) 518-1175
Mailing address
110 N OAK ST, ARCOLA, IL 61910-1417
(217) 518-1174
(217) 518-1175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-032158
IL
Other
Enumeration date
06/05/2019
Last updated
02/06/2020
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