Individual
DR. KEVIN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 KNEELAND ST, 3RD FLOOR, BOSTON, MA 02111-1527
(617) 636-6894
Mailing address
7 WHALER LN, QUINCY, MA 02171-1553
(617) 636-6894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12636
MA
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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