Individual
DR. RYAN DAVID BASTYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2410 SAMPSON ST, GREAT LAKES, IL 60088-2942
(847) 688-2469
Mailing address
420 TIMBERLAKE DR, VENETIA, PA 15367-1394
(412) 616-2237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045379
PA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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