Individual
FELICE SUSANNE O'RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Mailing address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28366
CA
Other
Enumeration date
11/01/2006
Last updated
10/27/2014
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