Individual
DR. RYAN KEANE HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1443 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-4065
(847) 895-7393
Mailing address
1443 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-4065
(847) 895-7393
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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