Individual
DR. RYAN CLARK SHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3326 TAYLOR RD, CHESAPEAKE, VA 23321-2518
(804) 677-2952
Mailing address
3326 TAYLOR RD, CHESAPEAKE, VA 23321-2518
(804) 677-2952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416092
VA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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