Individual
DR. RYAN MICHAEL DUNLAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11475 ROBINSON DR NW, COON RAPIDS, MN 55433-3746
(763) 587-9100
Mailing address
11524 DUNKIRK CT NE, BLAINE, MN 55449-6788
(612) 799-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12243
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216647000
—
MN
Enumeration date
12/07/2006
Last updated
09/11/2023
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