Lara L Tull Ryan DDS Ms PA
NPI #1013904564 in Overland Park, Kansas
Provider Information
- NPI Number
- 1013904564
- Entity Type
- Organization
- Organization Name
- Lara L Tull Ryan DDS Ms PA
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Sep 30, 2005
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 4601 W. 109TH ST.
- Address 2
- SUITE 212
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66211
- Phone
- (913) 491-5548
Authorized Official
- Name
- LARA L TULL RYAN
- Title
- OWNER
- Phone
- (913) 491-5548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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