Individual
DR. RYAN JOHN YAKOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
120 GREENWAY CROSS CT, BELLEVILLE, WI 53508-8800
(608) 424-3222
Mailing address
120 GREENWAY CROSS CT, BELLEVILLE, WI 53508-8800
(608) 424-3222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6606-15
WI
1223G0001X
General Practice Dentistry
6606-15
WI
Other
Enumeration date
09/21/2010
Last updated
12/09/2024
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