Individual
DR. GRANT TAYLOR RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8410 E 116TH ST, FISHERS, IN 46038-1506
(317) 576-0611
Mailing address
8410 E 116TH ST, FISHERS, IN 46038-1506
(317) 576-0611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012955A
IN
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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