Individual
DR. RYAN MIKHAIL DAVID CALVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1075 BERKSHIRE BLVD, WYOMISSING, PA 19610-1264
(610) 374-4093
Mailing address
1075 BERKSHIRE BLVD STE 800, WYOMISSING, PA 19610-1264
(610) 374-4093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS038714
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
016.0116639
VT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS038714
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS038714
PA
390200000X
Student in an Organized Health Care Education/Training Program
G3-0000381
DE
Other
Enumeration date
05/11/2011
Last updated
09/11/2024
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