Individual
DR. JENNIFER LEE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
2545 E BIDWELL ST STE 100, FOLSOM, CA 95630-6443
(916) 984-6200
(916) 235-7469
Mailing address
16860 LAYS LAKE ESTATES LN, MEADOW VISTA, CA 95722-9333
(530) 878-8083
(530) 878-8089
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
44771
CA
Other
Enumeration date
10/23/2006
Last updated
10/14/2009
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