Individual
RYAN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20646 ABBEY WOODS CT N STE 101, FRANKFORT, IL 60423-3169
(815) 806-1451
Mailing address
20646 ABBEY WOODS CT N STE 101, FRANKFORT, IL 60423-3169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029899
IL
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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