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Individual

DR. RYAN M MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
8028 S EMERSON AVE, SUITE A, INDIANAPOLIS, IN 46237
(317) 883-3300
(317) 889-3348
Mailing address
8028 S EMERSON AVE, SUITE A, INDIANAPOLIS, IN 46237
(317) 883-3300
(317) 889-3348

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010416
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1368963
UNITED CONCORDIA
IN
Enumeration date
10/05/2006
Last updated
07/08/2007
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