Jacob Ryan Krisher, DMD

NPI #1124699657 in Peoria, Illinois

Provider Information

NPI Number: 1124699657
Entity Type: Individual
Name: Jacob Ryan Krisher, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 6, 2021
Last Updated: Jul 6, 2021

Practice Location

Address: 3316 N AVALON PL
City: Peoria
State: Illinois
ZIP Code: 61604-1472
Phone: (309) 335-0531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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