Organization
BERNARD E RYAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD E RYAN JR. DDS (PRESIDENT)
(815) 932-9695
Entity
Organization
Contact information
Practice address
9 BRIARCLIFF PROF CTR SUITE D, BOURBONNAIS, IL 60914-2429
(815) 932-9695
(815) 929-0582
Mailing address
9 BRIARCLIFF PROFESSIONAL CENTER, SUITE D, BOURBONNAIS, IL 60914-2429
(815) 932-9695
(815) 929-0582
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019015907
IL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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