Individual
DR. RYAN S. LEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12662 RILEY ST, 110, HOLLAND, MI 49424-8023
(616) 399-3946
Mailing address
12662 RILEY ST, 110, HOLLAND, MI 49424-8023
(616) 399-3946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018843
MI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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