Individual
DR. RYAN C WAYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, PROSTHODONTIS
Contact information
Practice address
3340 PROVIDENCE DR, SUITE 560 PROVIDENCE MEDICAL OFFICE BUILDING, ANCHORAGE, AK 99508-4643
(907) 631-6070
Mailing address
3340 PROVIDENCE DR, SUITE 560 PROVIDENCE MEDICAL OFFICE BUILDING, ANCHORAGE, AK 99508-4643
(907) 631-6070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1241
AK
1223P0700X
Prosthodontics
7680
KY
Other
Enumeration date
12/14/2005
Last updated
10/05/2009
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