Individual
DR. RYAN KRIWANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 N STATE ST, OUTPATIENT TOWER, DENTAL CLINIC A3C, LOS ANGELES, CA 90033-1029
(323) 409-5015
Mailing address
2200 COLORADO AVE, APARTMENT 515, SANTA MONICA, CA 90404-3571
(310) 482-7770
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
58948
CA
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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