Individual
RYAN L REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
8309 SW MAIN ST, SUITE 100, WILSONVILLE, OR 97070-5550
(503) 682-0550
Mailing address
28626 SW TERRENE LANE, WILSONVILLE, OR 97070
(216) 990-8868
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D9765
OR
Other
Enumeration date
08/03/2012
Last updated
12/17/2013
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