DR. Amanda Rose Ryan, DMD

NPI #1346815131 in Appleton, Wisconsin

Provider Information

NPI Number: 1346815131
Entity Type: Individual
Name: DR. Amanda Rose Ryan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 24, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 811 N LYNNDALE DR STE 1A
City: Appleton
State: Wisconsin
ZIP Code: 54914-3085
Phone: (920) 739-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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