Organization
J. BRETT RYAN DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BRETT RYAN D.M.D. (OWNER)
(518) 668-5457
Entity
Organization
Contact information
Practice address
93 MONTCALM ST, LAKE GEORGE, NY 12845-1317
(518) 668-5457
Mailing address
93 MONTCALM ST, LAKE GEORGE, NY 12845-1317
(518) 668-5457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057268
NY
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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