Individual
DR. NATHANIEL VAN RYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15680 W CAPITOL DR, BROOKFIELD, WI 53005-2221
(262) 373-0344
Mailing address
16003 MORRISON RD, OAKDALE, CA 95361-9561
(209) 765-2017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001605-15
WI
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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