Organization
JENNIFER RYAN, DDS, MS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LEE RYAN DDS, MS (PEDIATRIC DENTIST)
(530) 878-8083
Entity
Organization
Contact information
Practice address
16814 PLACER HILLS RD, MEADOW VISTA, CA 95722-9531
(530) 878-2357
(530) 878-3910
Mailing address
16860 LAYS LAKE ESTATES LN, MEADOW VISTA, CA 95722-9333
(530) 878-8083
(530) 878-3910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
44771
CA
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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