Jonathan Ryan

NPI #1215320494 in Las Vegas, Nevada

Provider Information

NPI Number: 1215320494
Entity Type: Individual
Name: Jonathan Ryan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 11, 2015
Last Updated: Mar 11, 2015

Practice Location

Address: 5415 W HARMON AVE UNIT 2086
City: Las Vegas
State: Nevada
ZIP Code: 89103-7022
Phone: (702) 581-6482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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