Individual
DR. RYAN KEANE HURLEY
Active
Individual
DR. RYAN KEANE HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027037
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002322
IL
Other
Enumeration date
10/05/2009
Last updated
04/11/2011
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