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Organization

RYAN J CANADA DMD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN J CANADA DMD (OWNER)
(702) 277-5631
Entity
Organization

Contact information

Practice address
3500 S LAKEPORT ST, SIOUX CITY, IA 51106-4516
(712) 276-5547
(712) 276-9099
Mailing address
3500 S LAKEPORT ST, SIOUX CITY, IA 51106-4516
(712) 276-5547
(712) 276-9099

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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