Individual
RYAN J HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 522-2816
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-6191
(419) 522-2816
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30023339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30023339
LICENSE
OH
Enumeration date
10/20/2010
Last updated
10/20/2010
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