Individual
DR. RYAN MICHAEL PULFER
Active
Individual
DR. RYAN MICHAEL PULFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12011154A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN-DEN-LIC-4262
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011154A
STATE LICENSE
IN
01
—
DEN-DEN-LIC-4262
DENTAL LICENSE
MT
Enumeration date
10/15/2008
Last updated
12/26/2014
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