Individual
DR. SEAN ROBERT RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1140 RICKARD RD, SPRINGFIELD, IL 62704-6385
(217) 787-8788
Mailing address
3836 CALLA LILY LN, SPRINGFIELD, IL 62711-7708
(217) 691-9775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032691
IL
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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