DR. Ryan N Van Alfen, DDS, PLC

NPI #1245343631 in Eagle, Idaho

Provider Information

NPI Number
1245343631
Entity Type
Individual
Name
DR. Ryan N Van Alfen, DDS, PLC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS, PLC
Enumeration Date
Aug 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
483 S RIVERSHORE LN STE 102
City
Eagle
State
Idaho
ZIP Code
83616-4978
Phone
(208) 938-2100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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