Individual
STUART RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11921 LAKESIDE DR, FISHERS, IN 46038-1316
(317) 594-0888
Mailing address
11921 LAKESIDE DR, FISHERS, IN 46038-1316
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012483A
IN
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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