DR. Ryan Boles, DDS

NPI #1306001854 in Yukon, Oklahoma

Provider Information

NPI Number: 1306001854
Entity Type: Individual
Name: DR. Ryan Boles, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 24, 2008
Last Updated: Jul 24, 2008

Practice Location

Address: 701 SHEDECK PKWY
City: Yukon
State: Oklahoma
ZIP Code: 73099-6021
Phone: (405) 350-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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