Organization
ROBERT J RYAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J RYAN DDS (PRESIDENT)
(847) 506-1144
Entity
Organization
Contact information
Practice address
601 W CENTRAL RD, SUITE 9, MT PROSPECT, IL 60056
(847) 506-1144
(847) 506-1149
Mailing address
601 W CENTRAL RD, SUITE 9, MT PROSPECT, IL 60056
(847) 506-1144
(847) 506-1149
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
19A15156
IL
1223P0300X
Periodontics
Primary
215965
IL
Other
Enumeration date
10/06/2006
Last updated
12/05/2012
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