Individual
HEATHER RYBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
21ST MEDICAL GROUP, 559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914
(630) 621-2059
Mailing address
21ST MEDICAL GROUP, 559 VINCENT ST, SPACE BASE DELTA 1, PETERSON SPACE FORCE BASE, CO 80914
(719) 567-5065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029775
IL
Other
Enumeration date
08/05/2014
Last updated
12/23/2025
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