Individual
RYAN JOHN MISKULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
321 3RD ST, FARMINGTON, MN 55024-1352
(651) 463-2880
Mailing address
321 3RD ST, FARMINGTON, MN 55024-1352
(651) 463-2880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
R646
MN
1223G0001X
General Practice Dentistry
1001694
WI
1223G0001X
General Practice Dentistry
Primary
D13853
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
07/21/2022
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