Individual
DR. RYAN BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 SHEDECK PKWY, YUKON, OK 73099-6021
(405) 350-1133
(405) 350-1139
Mailing address
701 SHEDECK PKWY, YUKON, OK 73099-6021
(405) 350-1133
(405) 350-1139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6069
OK
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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