Individual
DR. DENNIS ALLEN RUNYAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
GREAT LAKES NAVAL TRAINING CENTER, GREAT LAKES, IL 60088
(847) 688-7373
Mailing address
8714 245TH AVE, SALEM, WI 53168-9085
(847) 769-3446
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5778
WI
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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