Individual
DR. TIMOTHY MICHAEL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3505 AUSTIN BLUFFS PKWY, SUITE 225, COLORADO SPRINGS, CO 80918-5702
(719) 548-5000
Mailing address
2601 NORTHCREST DR, COLORADO SPRINGS, CO 80918-4349
(719) 528-5928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104702
CO
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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